Presbytery of Lake Erie

Resource Center
2816 Elmwood Avenue , Erie, PA  16508
Telephone: 814-868-4891 ext 115

  Special Resource Request Form

 Name of Individual/Church/Group____________________________________________________

 Contact_________________________________________________________________

 Address_________________________________________________________________

Telephone__________________ E-Mail______________ Fax___________

Title of Resource_______________________________________
# of copies_____

Author__________________________________________________________________

Subject (Bible, Family Ministries, Mission, etc)_________________________________

Media Type (book, video, magazine, etc) _______ Cost per unit_____ Total Cost______

Vendor Name_______________________________________________________

Vendor Address__________________________________________________________
Vendor Telephone___________________ E-Mail_________________ Fax____________

Reason for Request___________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

  Questions?  Call Joy Link, Resource Center Director,
at home 814-333-1883, at the Resource Center 814-868-4891 ext 115, or by e-mail at linkster@mdvl.net!