NICEVILLE PUBLIC LIBRARY POSSIBLE ORDER REQUEST

Patron name:

Phone number:

E-mail address:

Title:

Author:

Publisher and Date:

This item is a (pick a type from list below):
     Book, E-book, Newspaper, Magazine, CD, Video, DVD, Tape

Do you wish to reserve this item?
     If so, provide your library card number:

-------------------------------------------------------------------------------------------
Options:
Save form and email to the link on the web page:
     NcvLibrary@okaloosa.lib.fl.us, subject: Possible Order Request

Fax form to:     (850) 729-4053

Deliver or mail form to:
     Niceville Public Library
     Attn: Purchase Request
     206 North Partin Dr.
     Niceville, FL 32578