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Media Collection Website

Cooperative Extension Media Collection - Order Form

Materials may only be requested by Cooperative Extension faculty and staff in Wisconsin and only for use in UWEX-related programs. (See Circulation Guidelines)

If you are requesting something for use within the next 5 days or so, please call us at 1-800-353-3514.  We want to be sure to receive your order early enough so we can allow for sufficient shipping time.

**Please indicate the full range of dates you would like to keep the item(s)**

County:
Agent Responsible:
Requested By: Phone:
E-mail:
Send To:
Street Address:
Street Address:
City:
Zip Code:
Phone:
Title: Item #: Date(s) Needed:
Comments: