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2. First Name*
3. Last Name*
5. Library Card Number

   Note: you must have a Grand County Public Library card to request an Interlibrary Loan

6. Pick Up Library

   1. Moab
   2. Castle Valley
8. Best Phone Number
9. E-mail

11. Requests will be reviewed for purchase first. If the library decides not to purchase your suggestion, we can request it from a different library via interlibrary loan. See below for info regarding photocopy requests.

13. If GCPL does not purchase your request would you like an interlibrary loan?*

    1. YES - Please request an interlibrary loan.
    2. NO - Do not request an interlibrary loan.
15. Format*
    -- Select One --BookeBookAudiobook on CDeAudiobookPlayawayDVDMusic CDMagazine/Journal Article

    Please indicate the desired format.

19. Book / Audiobook Requests:
21. Title
23. Author
24. Publication Date

    If known

26. Additional Information

    Any additional information that will help us find the book / audiobook

30. DVD Requests:
32. Title
34. Director

    If known

35. Year Released

    If known

37. Additional Information

    Any additional information that will help us find the DVD

41. Photocopy Request

    Entire magazines/journals cannot be requested due to copyright laws; however, we can request single articles. For printed copies, the cost is 10 cents/page.  There is no charge for articles that can be emailed. Please provide as much information as possible.

43. Journal/Periodical

    Name of the magazine or journal

45. Article Title
47. Article Author
49. Volume
50. Number
52. Date
53. Page Range
55. Additional Information

    Any additional information that will help us find your request

Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field