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.
• Please do not copy and paste into this form. Please do not use special characters.

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 borrow an item from a library in Illinois, we may request it from a library out of the state. There is a $3 charge for any item received from out of state. Check here to authorize the $3 out of state charge. If this box is not checked, we will cancel requests that cannot be filled in state. Authorize $3 out-of-state charge

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) To submit this form, please enter the characters you see in the image: (If you do not see an image, please click the Refresh button in your browser)