Request for Reconsideration of Library Materials

2. Name
3. Date:
   Date:
5. Address
7. City
8. State
9. Zip Code
11. Phone Number
12. Email Address
16. Item for reconsideration is:
    -- Select One --AudiobookBlu-RayBookCDDVDeAudiobookeBookMagazineNewspaperOther
18. Title:*
20. Author/Producer:*
21. Call number on spine:*
23. Publisher:*
24. Publication Date:*
26. What brought this item to your attention?
28. Have you read, viewed, or listened to the entire work? If not, what parts?
30. Why do you want the Library to reconsider this material?
32. Signature:*
33. Date:*
    Date:
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

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