Desk copy request form

Desk copy request form

Book Title*

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Course Name*

Course Code*

Estimated Student Enrollment*

Course Start Date

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Instructor First Name*

Instructor Last Name*

Instructor Email*

Instructor Phone Number

Phone

School*

Department*

Address*

Unit/Apartment #

PO Box

City*

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Postal/Zip Code*

Country*

Campus Bookstore Order Placed?*

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Additional information on campus bookstore order

Title of Book Currently in Use

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