Charlotte County Library System

Patron Name*:

Patron E-mail Address*:

Library Card Number*: (13 digit number)

Title you are Requesting:

Author:

Subject:

Format:
Book
DVD
Magazine
Adult
Juvenile
Other

Copyright Date:

ISBN:

I heard about this:
(i.e. newspaper, Amazon, Oprah, other review source, friend, etc.)

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(Note: this is a request for consideration only. The Librarian will make the decision for adding the title to the collection based upon the criteria set forth in the Library's Collection Development Policy.)