Request the Library Make a Purchase For Its Collection: Lamar Soutter Library - University of Massachusetts Medical School

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* Please check the appropriate format type for this request:	Book Journal Audio-Visual Software
* Author/Editor:
* Title:
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Edition/Volume:
* Year:
Price:
* Publisher (name, city, country):
For a Book request, give ISBN:
For a Journal request, give ISSN:
This item will be used for (check all that apply):	Teaching Research Clinical Practice
* Would you like this item to be placed on Reserve in the library?	Yes No
If Yes, give the Course title:
Course number:
Instructor's name:
Dates to be kept on Reserve (MM/YY):	from to
Please check all statements that apply to your requested item:	Definitive work in its area New edition of important work Required reading for students Received favorable reviews I have personally examined it
Other Comments / Special Information / Justification / Additional Requestors:
Requestor Information:
* Name:
* Status:	Faculty Staff Student
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Request the Library Purchase an Item For Its Collection