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2. The purpose of this form is to help aid in the collection development at the library. Please feel free to suggest any book, audio, movie, resource, or item that you would like to see at the Chelsea Public Library. Please note that submission of this form does not guarantee purchase of your suggested item, but we will take it into heavy consideration for our next purchase order. Thank you!
4. Patron First Name
5. Patron Last Name
7. Email Address*
9. Item Type*
   -- Select One --BookAudio BookLarge Print BookMP3DVDBlu-RayVideo GameOther *Please explain in notes
10. Publication/ Release Date
12. Title*
14. Author (First &Last Name)
16. Series?
    Is this item apart of a series? If so, what is the series title?
17. Number in Series
    If this item is in a series, please indicate which number in the series the item is.
19. Notes
21. **PLEASE NOTE
    **Please note that submission of request does not guarantee the purchase of said item, but it will definitely be considered in our order purchases.**
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field