Appendix C

Serials Subscription Request Form
Date:_____________________

Please fill out this form as completely as possible when requesting a subscription to a serial title. "Serials" include the following types of publications: periodicals, journals, newspapers, series, standing orders, annuals, proceedings, transactions, yearbooks, abstracts, and indexes.

Title:

Publisher:

Cost:

Frequency:

ISSN:

Indexed in:

Reason(s) why title should be added to collection:

Specific Courses/Programs/Research this title will support:

Priority rating: (1-Essential), (2-Important), (3-Useful):

Requestor(s):

Address/Department:

Telephone/Email:

Faculty:_____ Staff:_____ Cadet:_____

Department Head Approval:

Please attach to this form any relevant information, such as publisher's flier, advertisement, or sample issue.