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Date: Name: Department: Phone #: E-Mail: First Item Please complete the following to the best of your ability: Priority Essential Useful Nice, but... Is this Item for a Class?   Yes No Format Book Periodical Video CD Audio Tape Other Author Title Publisher Publication Date Edition ISBN/ISSN Number   Price   Second Item (If Needed) Please complete the following to the best of your ability: Priority Essential Useful Nice, but... Is this Item for a Class?   Yes No Format Book Periodical Video CD Audio Tape Other Author Title Publisher Publication Date Edition ISBN/ISSN Number   Price   Third Item (If Needed) Please complete the following to the best of your ability: Priority Essential Useful Nice, but... Is this Item for a Class?   Yes No Format Book Periodical Video CD Audio Tape Other Author Title Publisher Publication Date Edition ISBN/ISSN Number   Price             If you need the paper version of this form, or if you have any questions about an order, please call Jan Samet at (301) 696-3934 or e-mail jsamet@hood.edu