Jersey City Free Public Library

Patron's Material Request Form

*Please note that requests will be weighed carefully and the library may or may not purchase the requests.

Your Suggestion:

Preference : Adult Young Adult Children

Format: Book Book on Tape Large Print Music CD Video DVD

Please Provide as much information as possible below:

Title:
Author/Performer:
Publisher:
Year:
Price:
ISBN:

Please provide us with your Information:

Name:
Address:
City: State: Zip Code:
Home Phone#:
Work Phone#:
E-mail: