City of Victoria Form Center

Suggest a Purchase

2. Name*
3. Email Address*
4. Confirm Email Address*
6. Item Type*

   1. Book
   2. Audiobook
   3. CD
   4. DVD
   5. Magazine
8. Item Information*
   Examples: title, author, publisher, date published, etc. Please provide as much information as possible.
10. Other Comments
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12. 1. Receive an email copy of this form.
13. Email address

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14. Submit

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