Library Book Request Form

You can use this form to suggest a book for purchase by your local or school library.

Many library collections staffers welcome title suggestions from patrons.
Simply print this page, fill in your own information at the top,
and provide it by hand or fax to your local librarian.

:: Requester Information

Name: ____________________________________

Address: ____________________________________

Address: ____________________________________

City: _______________________________________

State: _____________________ Zip: ________

Phone: _____________________

E-mail: _____________________

:: Book Request

Book Title: PARK RIDGE: A Senior Center Murder

ISBN: 1601450230

Publication Date: 09/2006

Publisher: Booklocker.com, Inc.

Book Type: Fiction: Mystery/Seniors

Available from the publisher at http://www.booklocker.com/books/2637.html