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Title Request Form

2. First Name
3. Last Name
5. Library Bar Code Number*
7. Email Address
9. Title
11. Author
13. Type of Item*

    1. Audio Book
    2. E-Audio Book
    3. Book
    4. E-Book
    5. DVD

    1. Graphic Novel
    2. Juvenile Item
    3. Large Print
    4. Magazine
    5. YA (Teen) Item
15. Please Remember.......
    *Patron Requests will be evaluated but not guaranteed.

    *Patron Requests will be evaluated but not guaranteed.
17. *Continue to check the Library's online catalog for your item at the web address below.

    *Continue to check the Library's online catalog for your item at the web address below.
19. *Thank you for your suggestion!

    *Thank you for your suggestion!
21. www.portsmouthpubliclibrary.org

    www.portsmouthpubliclibrary.org
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23. Submit

* indicates a required field