Purchase Request Form for a Journal or Other Continuing Cost Material

Requestor Information

Name

E-mail Address

Georgetown ID Number

Your nine digit GOCard number.

School or College

If Other

Required only if Other was selected as your Location if Overseas.

Location if Overseas

If Other

Required only if Other was selected as your Georgetown affiliation.

Department or Program

Day-time Phone

Georgetown Affiliation

If Other

Required only if Other was selected as your School or College affiliation.

Subscription Information

Title

Publisher

Subject

ISSN

Material Format

Price

Priority

Low

High

Are you a member of the editorial board?

Yes

Volume or Year to Begin Subscription

Statement of importance to teaching and/or research

Other departments or faculty who would benefit from this title

Additional Comments

Information regarding the subscription you would like the library to purchase.

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