University of Wisconsin - River Falls
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Liaison Request Form (Excel Spreadsheet for multiple orders)

 ITEM INFORMATION
 Title  
 Author or Editor  
 Publisher  
 Publication Year  
 Edition  
 ISBN Number  
 Price  
 Format  
 REQUESTER INFORMATION
 Name  
 Are you the department or  program liaison?   Yes No  
 Is this title for reserve?   Yes No
 Department or Program Name  
 E-mail  
 Phone  
 ADDITIONAL NOTES
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University of Wisconsin-River Falls

 Last modified: March 05 2007.