Warrenville Public Library District

Item Request Form

Fill in the information below if you would like to obtain an item that is not in the Library's collection.

• You must have a valid Warrenville Library Card.
• No more than eight material requests may be submitted in a calendar month in order that all patrons may have fair access to materials and services.
• Each title must be listed on a separate submission..

Item Information:

* Indicates a required field
Title * Author / Performer / Editor * ISBN Number Publication Date & Edition Format & Type Fiction Nonfiction Juvenile
Book Book on CD CD DVD Additional Information: If we cannot find your item in Illinois, we can look for it out of state. There is a $3 charge for any item received from out of state. If you do not agree to the charge, we will cancel your request if we cannot find it in Illinois. Do you agree to the $3 charge? * Yes No

Patron information:

* Denotes Required Item
First Name * Last Name * Phone Number * (ex. 555-123-4567) eMail * Preferred Method of Contact Phone eMail Library Card Number * (Enter all digits with no spaces) Enter Security Code: *