E-Gov Services City of Smyrna

Library Purchase Materials Request

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Purpose: This form is used to request the library to purchase materials.

* Information is required.

Contact Information

* First Name:
* Last Name:
* Email:
Daytime Phone:	() –
Address:
City:
State:
ZIP:

* What is your library card number?

* What is the title of the material you are requesting?

What is the subject of the material?

Who is the author of the material you are requesting?

Publication date of the material, if known:

Type of material:

Book

Magazine

Newspaper

DVD

More information, if necessary:

Check here to have email confirmation of this request sent.

* Information is required.

Notes:

If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.