Berkshire Athenaeum
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Title: _______________________________________________________




Author: _____________________________________________________


Is this a new item?      Yes_____    No_____   Not sure_____


If new, has it been published?      Yes______ No______ Not sure______


Please indicate the format of this item:

Book__________   Large print book__________ Book on CD__________  

DVD__________ Other_________________________________________

  • If we purchase this item, we will contact you when it comes in.
  • We will contact you right away if we do not purchase this item.
  • We can submit your request to our Interlibrary Loan Service.
  • Please be aware that network libraries will not lend items less than 6 months old.

Your Name: _________________________________________________

Library Card Number: _________________________________________

Day time phone: _____________________________________________  

Updated May 2012.

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Berkshire Athenaeum, Pittsfield's Public Library, Pittsfield, Massachusetts