Materials Purchase Request
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•Title:
•Author:	•Subject:
Publisher:
ISBN #:	Price:  Year Published:
•Format:	Book    Book-on-CD   CD   DVD    Magazine    Other
•Category:	Adult   Children's   Young Adult   Fiction Non-Fiction
•Your KPL Public Library Card #: If purchased, your hold will automatically be placed for you when the item is ordered.
•First Name:  •Last Name:  •Phone:    •Email:
We will provide a response to this request if the item is not purchased.