This form will take approximately 5 minutes to complete.Please allow yourself enough time to complete this form in one session as there is not an option to save and come back to it later. The questions marked with an asterisk (*) are mandatory and require an answer. You do not have to answer all of the other questions, but it would help us if you do. Your details 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 Community Mobile 1 (Bognor) Community Mobile 2 (Horsham) 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 Item detail Name of author, composer or performer Enter the name of the author. Title * Enter the title of the audio-visual item. Format * Select the appropriate format from the list. Audiobook on CD DVD Playaway digital audiobook Manufacturer's number or barcode Enter the manufacturer's number or barcode, if known. Publisher or distributor Enter the name of the publisher or distributor, if known. Year Enter the year of production, if known. Additional information Enter any other information. 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.