Your Details

Library Card Number:*
First Name:*
Last Name:*
House Number & Street Name:
Area:
Town:
Postcode:
Telephone Area Code:
Telephone Number:
Email Address:
Mobile Number:

Item Details

Author/Composer:
Title:
Format:	Don't know Book CD DVD Talking Books Video
Publisher:
ISBNNumber:
Price:
Date of Publication:
Where have you seen details of this item?:
Is there a date after which the item is no longer of use?:	e.g. 20/09/2004
Would an alternative be acceptable?:	Yes No
If the item is not in stock, do you still want us to try and obtain it for you?: (Note that there may be further charges for this service)	Yes No
Which library would you like to collect the item from?:*	None chosen Almondbury Batley Birstall Cleckheaton Denby Dale Dewsbury Golcar Heckmondwike Holmfirth Honley Huddersfield Kirkburton Kirkheaton Lepton Lindley Marsden Meltham Mirfield New Mill Ravensthorpe Shepley Skelmanthorpe Slaithwaite

When you collect your reserved item:

• You will need to show your Library card
• A reservation fee will be charged