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College of St. Catherine  
St. Paul and Minneapolis, MN   
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Minneapolis Campus Video/DVD Purchase Request Form


Contact Information
(Required fields marked with *)

* Your name
* Are you? Faculty  Staff 
* E-Mail



Item Information

* Exact Title:
  Publisher:
Series:
* Date:
* Format:
Description:
(Please describe the item you are requesting as fully as possible.)
Ordering:
(If you know the distributor of the item, please give us the information.)
* Course Information:
(Since all CSC AV materials are course specific, please tell us the course for which this item is needed and how soon you are hoping to use it.)

Upon receipt of this form, your request will be forwarded to Mary Ellen Brown, Media Coordinator, Minneapolis Campus.  If you would like to contact her personally, she can be reached by e-mail at mebrown@stkate.edu or by phone at 651-690-7793.

Before you hit the SEND button, please check to make sure all filled in information is correct.  Thank you.