Your contact information

Library Card No:              
Branch where you will pickup: 
                                Please select Branch
                                DeRidder-Main
                                Merryville
                                Singer
                                Longville
                                Ragley
                                Fields
                                East Beauregard
                              
Date needed by:               
Your name:                    
E-Mail Address:               
Phone Number - Day:           
           -Evening/weekend:  
Postal Address: (optional)    

We must have an email address, phone number or address so that we can contact you.

What you want

General information about a subject

Subject Request:              
Level of Information:         
Basic
                                Intermediate
                                Advanced
                                Professional
                                How-to
                              

If School Related
  Grade:                      
  Number of sources required: 
  Type of Project             
                                Social Studies
                                Science
                                Research Paper
                                Other
                              

A specific book, video or other item.

Use this area only if you are requesting a specific title. If you want audio or video, please indicate that after the title (i.e. video only). Requests for magazines or periodicals should be entered in that area below. Other requests should be entered as subject requests in the area above.

Title:                        
Copyright year:               
Author: (last, first)         
How did you find out about    
                                Recently Published
                                TV
                                Book Club
                                Book Page
                                Internet
                                Other
                              
this book:

A magazine or other periodical

Periodical Title:             
Vol:                          
Issue:                        
Date:                         
Article Title:                
Article Author:               
Article Subject:              
Max Charge:                   

If you are requesting an item from another library, please read the following statement carefully:

Materials borrowed from another library must be returned by the due date. Lending library must be reimbursed for any damaged or lost items. If a request has not been cancelled prior to the date the library receives the material, a fee of $1.00 per item will be charged.

Some libraries will only send photocopies of articles, not the entire magazine. Please be sure you have noted the maximum amount you are willing to pay in such a case, otherwise we will have to assume it to be $0.00 and cancel the request.