Online Order 1. Main Contact's Name & Address  Main Contact Name:  Professor Instructor Faculty Member Coordinator Mr. Ms. Miss Mrs. Dr. Other   University/Department:    Address Line 1:    Address Line 2:    City/State/Zip:    Email Address:    Phone/Phone 2:    Born on Month/Day?  <select> January February March April May June July August September October November December <select> 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   I'm a New Client! NOTE: Desk copies are shipped to the address above unless you specify otherwise.  2. Course Information, Enrollments & Desk Copies  Course Name/# (e.g. - MGMT 160):    Course Description (e.g. - Introduction to Management):    Course Instructor Name:    Course for which Term?  <select> Fall Winter Spring Summer <select> Quarter Semester <select> 2006 2007 2008  Is this course cross-listed?  Yes   No  Cross-listed Course Name/#:    Have we previously published materials for this course? When?  Yes   No   If "yes," were changes made?  Yes   No  Estimated # of Pages:   (1 page = 1 side of a page) Expected/Max Enrollment:    Date Course Materials needed by:    # of Desk Copies (use discretion):    Date Desk Copies needed by:    NOTE: Course Name/Description/Instructor/Term/University are printed on your cover.  3. Production Specifications  Format Specifications:  <select> Print plus Digital (small additional fee will apply) Print Only (plus free 20% PDF download) Digital Only (content restrictions may apply)  Print Specifications:  Single-sided (print on one side) Double-sided (print on both sides) As noted with originals  Paginate/Clear Copyrights:  Yes - It's FREE! As noted with originals Yes!  Binding Specifications:  fastback/tape (recommended) spiral staple (50 pages or less) perfect bind (restrictions apply) 3-hole w/ shrink wrap 3-hole w/ binder  Cover Specifications:      view Cover Gallery EITHER choose a Standard Cover color below:  brick  periwinkle  ivory  sky blue  terra cotta  stone  garden  sunflower  surprise!  OR choose one of the following cover options:  I want a Branded Cover for my program/school.  I want a full-color Template Cover.  I want a Custom Cover created. (100+ students)  Table of Contents Creation:  Yes - It's FREE! No. I've already created the TOC. As noted with originals  Will Your Course Syllabus be Included?  Yes  No  Are there any materials NOT needing copyright clearance?  Yes  No  If yes, please specify (public domain, permission granted by the author, etc.) and supply us with any necessary documentation.    Additional Instructions:    NOTE: Depending on your selections above, pricing may vary. Please call for details.  4. Specify Your Materials Submission Method(s)  How will you submit your materials? (please check all that apply)  I'm already in touch with my Account Manager regarding materials submission.  I will upload digital file(s) such as my Reading List Bibliography in Step 3.  I will email digital file(s) to you at materials@universityreaders.com.  I will mail hard copies FREE (FedEx me a physical ordering kit and instructions).  I will mail hard copies FREE (Send FedEx Account # and instructions - faster!).  I will mail hard copies at my own expense.  I'm sending nothing. I use business cases (Harvard, Darden, Ivey, etc.) only.  Please contact me to arrange alternative submission of my materials.  5. Reprint Process & Publishing Agreement  Reprint Process: To conserve paper and avoid overprinting, we will estimate a quantity needed according to our experience and your class enrollment. If we have underprinted, we have a very efficient 24-hour reprint-on-demand process available to students. If you would like us to print a specific quantity, please specify here and include information regarding billing for unsold copies.   University Readers' Publishing Agreement: I authorize University Readers to produce and distribute a course packet for my course(s) as listed on this order form and to secure all necessary permissions based on the information and material submitted. If I have asked University Readers to not pursue reprint permission for any excerpts in my course packet, then I warrant that I am the exclusive rightsholder of such material and therefore grant permission to University Readers for one-time use without charge, unless stipulated in writing and agreed to in advance by University Readers. I also understand that I am entering into an EXCLUSIVE publishing agreement, and therefore I, along with my agents, employees, assistants, etc. agree not to contact or allow any company, agency, person, or library to publish, print, copy, distribute, or post this course packet or this course packets' content via print or digital mediums, INCLUDING ANY FORMAT OF ELECTRONIC RESERVES, for my students. I further indemnify University Readers against any liability if any of the foregoing information is inaccurate or incorrect and agree to act swiftly to remove or prevent any unauthorized distribution as stipulated in this agreement. Yes, I fully understand and agree to all terms of the Publishing Agreement.

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