Title: (Is it in the catalog?)
Do you want an abridged version of the work? No Yes
Author/composer/performer (last name first):
Year publ/edition:

Media type:

Books:	Book	Large type book	Cassette	CD
Media:	DVD, widescreen	DVD fullscreen	VHS/video	Slides
Music:	LP (pick up @MCL)	CD	Score	Cassette

Comments:

Library card number (without spaces)

This is the 13 character bar code on the back of the card issued to you by your local library or Morris County Library. No cards from libraries outside of M.A.I.N. libraries (Morris County and Bernards Twp) can be accepted.

Your name

Telephone number (include area code)
Day phone? or evening phone?

Fax or TTY number, if applicable
Fax and/or TTY

Your e-mail (as xxx@yyyyy.zzz)

DEADLINE--Materials not wanted after (use day/month, as 06/12). or no limit
Please do not use ASAP! If you leave this section blank, we will assume that you have no time limit.

PICKUP LOCATION
Home library -------- Morris County Library ---- Lake Hiawatha--(Parsippany cardholders)--Mount Tabor----(Parsippany cardholders)

If you have questions about this request, call the library at the pick-up location you selected. For pick-up at the Morris County Library, call Book Information at (973) 285-6970/6971 or e-mail us.

We will notify you when the requested item arrives here. Books at the Morris County Library will be held at the Circulation Desk for up to 7 days after you are notified of their availability.

Subject Request--Please be as specific as possible. Up to 5 items will be supplied per subject.

To send additional requests, use your back arrow to return to this form, delete book or topic information, and replace with new title or subject. Be sure that your personal information (name, library card number, etc.) is on all requests.

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