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2. Holds Request Form
   This holds request form is for patrons to fill out if they do not know what to look for. Because patrons are not able to brows the shelves at the moment, let the staff do the browsing for you! Fill out your information and tell us a little about what you are looking for, like genre or themes. This goes for movies or other resources as well. If you do know what you are looking for, log into your library account through the online catalog and place the item on hold, or call our library and we will put it on hold for you!
4. First Name
5. Last Name*
7. Phone Number*
8. Library Card Number
   If you do not have your card number, leave blank.
10. Email Address
12. What are you looking for?
    Tell us about the type of book, movie, or other item you are looking for. For example, "Mystery books in young adult", or "I want action movies", or "I need books for my child. They like princess stories and they are 10 years old".
14. What material type would you like?

    1. Book
    2. Audio Book
    3. MP3 Audio Book
    4. DVD
    5. Blu-Ray
    6. Play Away View
    7. Play Away Launch Pad
15. How many items would you like?

    *Some items have amount limitations

    1. 1
    2. 1-5
    3. 5-10
    4. 10-20
    5. 20+
17. Other Comments or Notes
    Please let us know about any special requests or notes and comments.
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field