Item Request

Please fill out the following form to submit your request. Due to the number of requests we receive, and the time required to process requests, please limit to no more than three (3) requests at one time. When you have finished, click on the Submit Request button. If you want to start over, click on the Clear Form button and enter the information again. The personal information you provide here is confidencial and will only be used in order to process your request.

To request an item, you must have a valid library card registered at the Pinellas Park Public Library. If you do not, or are not sure, contact the library at 541-0718 for more information.

Contact Information

Name (Required)
Library Card Number (Required-Entire number with no spaces)
E-Mail Address (Required, if you have one)
Phone Number (If you do not have an e-mail address, local # only)

Request Information

Title (Required)
Author (Required, if applicable)
Subject (If applicable)

Type of Material: (Required)
Book (regular print)
Large Print Book
Audiotape
Audio CD
Videotape
DVD
Magazine
Other

Comments: If you have any other information on the item that might be needed in order for us to find it, please use the box below.

Updated 5/03