Instructions: This form is for the use of QU Law Faculty to request the Law Library to purchase library material. Please complete all sections.

• Use your mouse or TAB key to go from entry field to entry field
• DO NOT hit Enter or Return after each entry field as this will submit the form prematurely
• Verify all information is correct before clicking submit.

* - Required Field

Requestor Information
Name:
QU E-mail Address:	*
Phone Number:	( ) -
Library Material Information
Type of material
Title:
Author:
Edition
Publisher/Date:
Source of Information:
Special Requests or Instructions
	RUSH Route to my attention Place on COURSE RESERVE (provide reserve information below)   Course:   Professor:   Semester:
Additional Comments
Please verify all information is correct, then click "Submit Request" below. Thank you for your request.