Div I Acquisitions/Book Order Request Form
For Faculty Use Only

Instructor/Requestor's Name:

Email Address:

Telephone Extension:

Department:

Title of the Item:

Author:

Publication Date:

ISBN:

List Price:

Publisher Information: (For educational, foreign or rare films, please give us additional information: distributor name, address, phone/fax, etc.)

Comments:

If you need to edit or make a change to a request that has already been submitted, please do not submit a new request. Instead, send an email message to Rebecca Seipp at seipprl@hollins.edu.