Acquisition Request Form
Name :
Email :

*Date Requested : Please click calendar icon to input date
Salutation : How would you like us to address you?
*Requestor Name : Please enter complete name
*Client type :
*Department/College : Which department the requestor belongs to
*Email :
Telephone/Mobile number :
*Format : If you selected "Other", please specify details at the "Other pertinent information" text box.
*Title of item :
Author/Creator :
Publisher/Manufacturer :
Year/Edition :
Other pertinent information : You can state purpose, number of copies, link to webpage and other additional details of note here