Audiovisual Request Form


Owning Library code:

Email:

Media Type: DVD, Blu-Ray, Audiobook, Music CD, Electronic, other

Movie Edition: Widescreen, Fullscreen, other

Audiobook Edition: Abridged, Unabridged, MP3, Playaway, Other

Title:

Author, musician, actors, directors names:

Narrator (for audiobooks):

ISBN / 12-digit UPC:

Price:

Publisher #:

Call #:

Publisher:

Publication Date:

Number of discs,cassettes, etc...:

Run Time:

Notes: