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2. Use this form to request materials that the Campbell County Public Library System does not own.
4. Type of material*

   1. Fiction
   2. Nonfiction
   3. Large Print
   4. Children's
   5. Young Adult
   6. Magazine
   7. DVD
   8. Music CD
5. Format*

   1. Book
   2. Book on CD
   3. E-book
   4. E-audiobook
   5. Playaway
   6. Any Format
7. Author / Artist*
8. Title*
10. Would you like to be notified of the library's decision to purchase or not?
    -- Select One --YesNo
11. If the library does not purchase, I would like to interlibrary loan it at a cost of $2
    -- Select One --YesNo
13. I would like to reserve this item
    -- Select One --YesNo
14. I want to pick up my library materials at*

    1. Campbell County Public Library
    2. Wright Branch Library
16. Full name*
17. Address
19. Email*
20. Library card number*
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field