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Subscription Request Form

Please fill out the form below as completely as possible to request periodical subscriptions for purchase by the Serials Department. If you are a faculty representative, select "APPROVED REQUESTS" from the drop down menu to have your order sent directly to the Serials Department. All other requests will be sent to the appropriate liaison for approval.

Recommended By E-mail Address Department Library Liaison
Priority for ordering (select one) 1 2 3	1--for immediate purchase 2--highly useful 3--if funds are available

Check all that apply:
Rush Notify Extension

Please complete the following:
Format (select one) Print Internet Resource CD-ROM Other
Location (select one) Portland Gorham Lewiston/Auburn
Title Publisher & Address Major Subject Area Check if Backfile Needed If yes, how many years back Level (select one) General Undergrad (introductory) Undergrad (advanced) Grad./Research
Include here information on present or future courses or programs which this subscription would support. Be as specific as possible. Or, use this space if you have anything to add:

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