Purchase Request Form

To recommend that the Library purchase an item that it does not own, please fill out the form below.

Please note:

• The library will not purchase items that are owned and currently checked out.
• We cannot guarantee that all items will be purchased nor can we guarantee how long an item will take to acquire.

If you have questions, please contact the Acquisitions Department at acquisitionsdesk@paccd.cc.ca.us.

* required field

Contact Info *Your Name: *Phone Number: E-mail Address: Confirmation of this request will be sent if a valid e-mail address is provided.

PCC IIN: (Last 8 digits of number on PCC LancerCard) XXXX - XXXX - -

*Is this a request for a: Required Textbook: Course Instructor * Most Required Textbooks are purchased each semester except for workbooks, study guides, and some selected titles. Recommended Course Reading: Course Instructor Book Periodical Title Other (videocassette, audiocassette, etc.)

*Are you a: PCC Student PCC Staff Building/Room PCC Faculty Building/Room Public Patron

Requested Item:  Title: Author(s): Publisher: Publication Date: Edition: Additional Information:

Click here to submit: