Name Plate Request Form

Standard name plate will be copied on ivory card stock and laminated.

Please complete the appropriate boxes for the name plate you are requesting. Request only one name plate per form.  When the form is complete, click Submit Name Plate Request at the bottom of the page.

Name Plate Requested by:

Library Department

Library Building

Main Library Science Library

Email (for notification)
Name Plate Information - Type the name as you would like it to appear.

If you have any questions about your name plate, please contact:

Mollie Armour - Reserves Coordinator
Phone: 706-542-3256