Desk & Exam Copy Request Form

* Indicates a required field.

Type of Request

Request Copy Type

Desk Copy (of a text that has already been adopted for your course) Exam Copy (of a text that is being considered for course adoption)

Request Format

Prefer Print Copy Prefer Digital Copy (if available)

Requestor's Information

First name

Last name

Requestor's Ship-to address

You MUST include the street address for delivery; do not enter P.O. Box numbers; business/academic addresses MUST include the university and department name.

Address type

Home Business

School

Address 1

Address 2

City

State

Country

Ship to address Zip Code

Ship to address Country Postal Code

Email You MUST fill in your email address for this form to reach us.

Daytime Telephone Number Provide the telephone number of the ship-to address above.

Instructor's Information

School

Institution Type

Department

First name

Last name

School Phone Number

Requested Text

Search by title or ISBN (1 titles max.)

This book will be a:

Required Text Recommended or Optional Text

Course Information

Course title

Course start date (YYYY/MM)

Expected course enrollment for this term

Bookstore (where orders will be placed by students)

Current text (that the requested text will replace or supplement)

Course adoption decision due date (YYYY/MM/DD)

Further Information

Please type any additional questions and/or comments here:

Please review the information you have entered to make sure it is correct. When you are finished, click "Submit Request" to send us your desk/exam copy request.

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