Faculty Video Request

This order form is for use by Oberlin College faculty.
All other library users are invited to use the suggestion form in OBIS.

Please provide as much information as possible.

Note: You can use the tab key or the mouse to move from one field to the next.

Name:
Department:
Phone #:
Email:

Title (and alternate title, if known):
Filmmaker/Director/Producer:
Date/Version: If specific version required, date of release, etc.
Distributor:
Estimated Cost:
Other Information (eg. catalog, website):
Media Preference:	VHS / DVD
Number of copies needed:	NB: We recommend one copy for every ten students in the class if all students are required to view the film outside of class time or if students are expected to view film more than once.
This film is for:	Reserve (indicate course and date: ) In-class Viewing (indicate date: ) Out-of-class Viewing The Library's Collection