Last  Name:
First Name:

Work Phone:
Home Phone:



E-mail:    

Select one: 

 Student
 Faculty
 Staff
 Professional/Technical
 Administrator


Please tell us which campuses should purchase the recommended materials (mark all that apply):


     Valle Verde
     Transmountain
     Rio Grande
     Northwest
     Mission del Paso


 

Information about the material you are recommending that we purchase:

BOOK:

Author's Name:          
Title:                  
Publisher:              
Place of Publication:   
Date:                   

PERIODICAL:

Periodical Title:       

Source (Where did you get your information?)