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

    This field is not part of the form submission.

14. Submit

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