This form will take approximately 5 minutes to complete. Your details Title Select your title. Mr Mrs Miss Ms Dr Other Other Enter your title if you have selected 'Other' above. First name * Enter your first name. Last name * Enter your last name. Email address * Enter an email address where we can write to you. Phone number Enter a daytime phone number that we can ring you on. This can be a mobile or landline number. Library card number * Enter the 9-digit number found on the back of your library card. Local library * Choose the library you wish to collect from. Angmering Library Arundel Library Billingshurst Library Bognor Regis Library Broadfield Library Broadwater Library Burgess Hill Library Chichester Library Crawley Library Durrington Library East Grinstead Library East Preston Library Ferring Library Findon Valley Library Goring Library Hassocks Library Haywards Heath Library Henfield Library Horsham Library Hurstpierpoint Library Lancing Library Littlehampton Library Midhurst Library Petworth Library Pulborough Library Rustington Library Selsey Library Shoreham Library Southbourne Library Southwater Library Southwick Library Steyning Library Storrington Library Willowhale Library Witterings Library Worthing Library If the title is only available from libraries outside West Sussex are you prepared to pay the £6.10 fee to obtain the title? * Using the buttons select 'Yes' or 'No' as your answer. Yes No If the title is only available from the British Library are you prepared to pay the £9.10 fee to obtain the title? * Using the buttons select 'Yes' or 'No' as your answer. Yes No Item details Author Enter the name of the author. Title * Enter the title of the book. ISBN Enter the ISBN, if known. Publisher Enter the name of the publisher, if known. Publication year Enter the year the book was published, if known. Edition Enter details if you need a specific edition. Price Enter the price of the book, if known. Additional information Enter details of any other information about the book. For staff use only Paid Yes No Submitting your form Click the submit button only once. Please be patient as it will take a few moments to process your form and redirect you to our confirmation page.