Form for Requesting Bibliographic Records (CD-ROMS and other SOFTWARE)

**Fields in bold are required**

You may also print this form and fax or mail if you prefer

Your Name:

Library Name:

Email:

ISBN (use "x" if no ISBN):

Title (as printed on the disc; include subtitle if there is one):

Publisher & Date:

System type (Windows 98, Windows 3.1, Macintosh, etc.):

Version/Edition (as printed on cd or disk):

Number of CD-ROMs or disks. YOU MUST SPECIFY WHETHER YOU HAVE CD-ROMS or DISKS!!!:

Accompanying material (user's manual, teacher's manual, installation disk, etc.):

Call Number for your Item:

Notes (for any additional information you wish to provide such as LCCN, series statement, accompanying materials, language other than English, etc.):