Materials Request Form

Book/Materials Purchase Request Form

PO Box 7001, Longview TX, 75607-7001
1-800-759-8811
admissions@letu.edu

Date (mm/dd/yyy):*
Professor:*
Professor's Email:*
Title:*
Author:*
ISBN# (as printed):
Minimum number of copies needed:*
Is this item to be placed in the Library Reserve Room? If yes, answer the following questions, otherwise submit the form*	Yes No
Department:
Class Prefix:
Class Number:
Section Number:
Type of Material:
Checkout Limits:
Permission to Copy:	Do Not Copy Okay to Copy
Duration of Reserve:	Semester Academic Year
Please enter the text in the field below*
All fields marked with an asterisk (*) are mandatory.