Material Request Form Please note that your suggestion does not necessarily mean that we will purchase the item. Consideration is based on the review of library literature, suitability to our patrons, and the current budget. Where do you pick up library materials? Bardstown Bloomfield New Haven Bookmobile What kind of item are you requesting? Book eBook Audio Recording Magazine Movie Game Digital Resource Other (please specify) Enter other… Item Title Item Author (or Publisher) If we do not purchase the item, would you like us to borrow it from another library (Interlibrary Loan) for you? Yes No If applicable, when do you need this item? Are you willing to pay postage for material from Out-of-State (if not available in Kentucky)? Yes No Maximum amount of postage costs you are willing to pay? $ Are there any resource(s) you would suggest to provide additional information and/or viewpoints on this topic? Name First Name Last Name Your Phone Number Your Library Card Number