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Item Request Form
Complete this form to request a book, book on CD, or DVD that the Pleasant Hill Public Library does not own.
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First Name
*
Your answer
Last Name
*
Your answer
Library Card Number
Your answer
Phone Number
*
Your answer
Item Title
*
Your answer
Author (if no author, please write N/A)
*
Your answer
Series title (if applicable)
Your answer
Material Type
*
Book
Large Print Book (please note, large print is not always available for all titles)
Book on CD
DVD
Other:
Copyright date (leave blank if unknown)
Your answer
Where did you hear about this item?
Your answer
Which are you?
Library User
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