Cowley College

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Renn Memorial Library
Video Order Form

Please fill out the form and click on "Submit" when finished.
There are spaces to request up to five videos. If you are requesting more than five videos, you will need to fill out additional forms.
To place an order by phone, please contact the library at 620-441-5334.

CONTACT INFORMATION

Instructor:
E-mail:
Location:
Course Title:
ORDER VIDEOS
VIDEO 1  
Film Title
(and Series Name if Applicable)

Call Number
Show Date
1st Choice

Show Date
2nd Choice

VIDEO 2  
Film Title
(and Series Name if Applicable)

Call Number
Show Date
1st Choice

Show Date
2nd Choice

VIDEO 3  
Film Title
(and Series Name if Applicable)

Call Number
Show Date
1st Choice

Show Date
2nd Choice

VIDEO 4  
Film Title
(and Series Name if Applicable)

Call Number
Show Date
1st Choice

Show Date
2nd Choice

VIDEO 5  
Film Title
(and Series Name if Applicable)

Call Number
Show Date
1st Choice

Show Date
2nd Choice



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