2. First Name*
3. Last Name*
5. Phone Number*
7. Email Address*
9. Library Card Number
11. Item Format*

    1. Book
    2. Audiobook
    3. DVD
    4. Blu-ray
    5. Music CD
    6. Other
13. Title*
14. ISBN
16. Author/Artist/Actor*

    The author or editor of the item being requested. If you are requesting a film, please provide at least one actor's name.

18. Additional Details

    Is there any other information that will help us to fulfill your request? For example, do you prefer large print or need the book in a language other than English?

20. If your item is located outside of NH, do you agree to pay postage if necessary?*

    Postage fees only apply to items located outside of NH and are typically $2-4.

    1. Yes
    2. No
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22. 1. Receive an email copy of this form.
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