Purchase Request Form

Share & Bookmark, Press Enter to show all options, press Tab go to next option
Print

Please correct the fields below:

The Staunton Public Library welcomes suggestions of books, DVDs and CDs to be added to the Library’s collection.  Consideration is based on the Library’s Materials Selection Policy and current budgetary constraints. If you are the first to suggest an item and it is purchased, it will be placed on hold for you and you will be notified when the item is available for checkout. If you do not provide a library card number or name, we cannot put the item on hold for you. Acquiring an item generally takes several weeks.

Please refer to our online catalog to see if the item is available before making a suggestion.   Only one item per form, please. If the item is more than a year old, consider making an Interlibrary Loan request instead.

1
What is the TITLE of the item you would like the Library to purchase?
 *
2
Who is the AUTHOR?
3
What format are you looking for? Please select only one.
What format are you looking for? Please select only one.
4
What is your name? If you do not provide a library card number or name, we cannot put the item on hold for you. 
 *
What is your name? If you do not provide a library card number or name, we cannot put the item on hold for you.
5
What is your Library card number? If you do not provide a library card number or name, we cannot put the item on hold for you. 
 *
6
What is your preferred contact information? This is how we will notify you if we decide to purchase the item.
What is your preferred contact information? This is how we will notify you if we decide to purchase the item.
  1. To receive a copy of your submission, please fill out your email address below and submit.