Make a Purchase Suggestion

The Derby Public Library is happy to receive your suggestions.  Please fill out the form below and press "Send."  Please do not make an interlibrary loan request for an item that you are requesting for purchase.  Please understand that not all requests can be purchased.  You will be notified about the library's decision.  You will be contacted when a purchased item is ready for check out.

First Name: *
Surname: *
Mailing Address: *
City, State, Zip: *
Phone Number: *
Library Card Number: *
Title: *
Title of material requested.
Author: *
Author of material requested.
Format Requested: *
Additional Information:
Please include any other information you may have here
Contact Preference: *
How do you prefer to be contacted about your request?

Enter your email adress if you'd like to get a copy:
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