FOR A PRINTABLE VERSION OF THIS FORM, COPY AND PASTE THE URL BELOW INTO YOUR BROWSER:

http://ci.pomona.ca.us/city_departments/library/Suggestion_For_Purchase_of_Library_Material.pdf

Suggestion for Purchase of Library Material

Today’s Date:____________________________________________________

Author:________________________________________________________

Title:___________________________________________________________

Publisher:_______________________________________________________

Type of Material: Book Magazine Audiobook Other


Please tell us why you think the library should have this title in its collection, and
where you heard about this title:




If the title is purchased, would you like a reserve placed ? Yes No
(50 cent fee per title for adult materials)

Please enter your information below for us to place a reserve for you:


Name: _________________________________________________________


Library Card Barcode Number 2307700_ _ _ _ _ _ _


E-Mail Address:___________________________________________________


Mailing Address:___________________________________________________


Daytime Phone # ( ) _ _ _ _ _ _ _




03/03/04