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Textbook Adoption Form
To adopt a textbook for your class, please complete the form below.
1. Instructor Information 
First Name: *
Last Name: *
E-mail Address: *
Phone: *
Institution: *
Department: *


2. Course Information 
Course Name/#:
Course Title:
Course for Which Term?
Expected/Max Enrollment:
Desired Delivery Date:   Select the Desired Delivery Date
Desired Delivery Method:


3. Textbook Information 

  Textbook 1 Additional Info:
ISBN #:
Author/Editor:
Title and Series #:  
Edition: Will textbook be reused?
Publisher: Yes No
Order quantity:  

  Textbook 2 Additional Info:
ISBN #:
Author/Editor:
Title and Series #:  
Edition: Will textbook be reused?
Publisher: Yes No
Order quantity:  

  Textbook 3 Additional Info:
ISBN #:
Author/Editor:
Title and Series #:  
Edition: Will textbook be reused?
Publisher: Yes No
Order quantity:  

To adopt additional textbooks for this course, Email Us the Information.
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