2. What is the title?*
4. Who is the author?*
6. In what format would you like your book?*

   1. Regular print
   2. Large print
   3. Audiobook on CD
8. What is the ISBN number?
9. Who is the publisher?
11. Please enter the publication date.
    Please enter the publication date.
12. Please provide an Amazon link to the item.
16. First Name*
17. Last Name*
19. What is your library card number?*
20. Please provide your phone number.*
22. Please provide an email address for updates on the status of your request.*
24. Please provide a home shipping address.
26. Address1*
28. Address2
30. City*
31. State*
32. Zip*

36. Check the box below to acknowledge the Zip Books Program Rules and Guidelines. Failure to adhere to the rules and guidelines of the Zip Books Program may result in the loss of Zip Books borrowing privileges.

    1. Patron must have a Moorpark City Library card in good standing.
    2. Requested items must be $50 or less pre-tax for books, $75 for audiobooks, and foreign language books.
    3. A Zip Books order cannot be placed for a book already in our library collection. However, a different format of a library-owned book may be purchased, i.e., in audiobook or large-type format.
    4. Three Zip requests can be made at one time. When books are returned, new requests may be made.
    5. Patrons must return Zip Books to library staff at the Circulation Desk. Do not use the book return slot or outside book drops.
38. Acknowledgement*

    1. I acknowledge the Zip Books Program Rules and Guidelines.
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field