
This form must be attached to your purchase order.
All requested information must be provided for us to process your order.
PO must be made out to: WiLS, 728 State Street, Room 464, Madison WI 53706.
Contact Person:______________________________________________
Library:_____________________________________________________
Street:______________________________________________________
City, State, Zip:______________________________________________
Phone:________________________Fax:_________________________
Email: __________________________IP Range: ___________________________
Public Libraries & Larger Academics call Chery Bradley or price quote.
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