Miami-Dade Public Library System

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Suggestions for Purchase

Request for Item not Owned by Library Due to budget considerations we may not be able to purchase every item requested. Due to the large number of suggestions we receive, it is not possible for staff to personally acknowledge or respond to each submission.
AUTHOR:*
TITLE:*
Publisher:
Date Published:	month/year (i.e. 01/2001)
Check one:	book video cd audiobook other
ISBN: (if known)
How did you find out about this title?
If the library decides to purchase this item, do you wish to be notified when it becomes available? yes no
A $2 charge will be added by MDPLS to your library account for every filled Interlibrary Loan request. You are responsible for any additional charges levied by the lending library on materials borrowed. If the library decides not to purchase this item, do you want us to try to obtain it for you through Interlibrary Loan? yes no NOTE: Only books with publication date over year old are eligible for Interlibrary Loan.
YOUR LIBRARY CARD NUMBER:*
Last Name:*
First Name:*
Street Address:
Apt. #
City:
State:
Zip Code:
Daytime Phone Number:	(i.e. 305-555-5555)
Email Address:	(i.e. xxx@xxxx.xxx)
Pick up at:*

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