Library Book Request Form

Please complete the form to request a book.

Sections marked with an asterisk (*) must be completed.

If you are unsure, please type 'Unknown'.

Important: your responses will not be sent to us until you click on the 'Submit' button at the end of the form.

Your details

Name*

First Name

Last Name

Library card number (if known)*

If not known, please type 'Unknown'

Department*

Job role*

Phone*

Email*

Book details

Author*

Year*

Edition*

Title*

Your request

We will contact you if we need more information, or if there are any problems with your request. Please specify your preferred method of contact:

Email Phone

Collection or delivery*

I will collect from the library (opening hours 8.30aam-4.30pm) I work offsite, please post the book to me

Delivery address*

Address Line 1

Address Line 2

City

County/Region

Postcode

Declaration

Please tick the box below to confirm that you agree that the information you provide, including your contact details, will be held on our library management systems. This will be held in accordance with the Data Protection Act (2018) and will not be used for marketing purposes.

I confirm