Supplementary Deposit Request Form

Deposit Request Form:

This form is only for the use of all WMRLS Member Libraries that receive delivery service.

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Fields marked with an asterisk (*) are required, others optional.

*Deposit Request
(Describe as completely as possible)

Level of Material Needed:

General Adult
Children/Young Adults

Grade (specify grade level):

Form of Material Acceptable:

Books Any

Other:

Number of Items Requested:

Please specify the number of items:

Contact Information:

*Library Name :

*Library Contact Person :

*Library Phone Number:
(please include area code)

*E-Mail Address:

*City/Town :

Fax Number :
(please include area code)

*Delivery ~ How often does your library receive WMRLS Delivery Service?
At Least Once Weekly Two to Five Times A Week


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