Loyola Notre Dame Library
 
Media Order Form
mediaIf you would like to suggest a video, cd or other media for the library to consider for purchase, please fill out the form below. Please include your name, email address, department, telephone number and name of college.

Your name:
Department and phone:
Email:
College:
Media One:
Title of media:
Publisher & adddress:
Price:
Is the title being recommended for a particular course? If yes, please name.
 




















Media Two:
Title of media:
Publisher & adddress:
Price:
Is the title being recommended for a particular course? If yes, please name.























Media Three:
Title of media:
Publisher & adddress:
Price:
Is the title being recommended for a particular course? If yes, please name.























Media Four:
Title of media:
Publisher & adddress:
Price:
Is the title being recommended for a particular course? If yes, please name.























Media Five:
Title of media:
Publisher & adddress:
Price:
Is the title being recommended for a particular course? If yes, please name.





Email Philip FryerE-mail questions to Philip Fryer, Media Services at: pdf@loyola.edu OR pfryer@ndm.edu







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