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Textbook Request

Instructors,

Please fill in and submit the Textbook Requisition form:

*indicates required field

Department: *

Course: *

Instructor Name: *

Instructor Telephone: *

Instructor E-Mail: *

Section Number(s): *

If new editions become available before classes start, would you like to use the new editions? *

Author: *

Title: *

ISBN: *

Publisher: *

please indicate:

*

Textbook: *

Barcode: (if applicable)