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Custom Publishing Order Form

Infringment of Coyright is a violation of civil law and may result in the imposition of penalties and damages exceeding $50,000 or even criminal prosecution. I verify that this order is in compliance with Federal Law on the reproduction of copyright materials used in instruction and research.
Instructor Information:
Instructor:
Email Address:
Office Phone:
Home Phone
Course information:
Semester:
Winter Spring Summer Fall
Reader Information
Date:
Dept / Course Number / Section:
Course Schedule ID (if known):
Reader Title:
Estimated Enrollment:
Number of Desk Copies:
Reader is:
Required Optional
Copy Instructions
Binding Information:
Tape Spiral Stapled 3 Hole Punch
Printing:
Single Sided Double Sided
Paginate:
Paginate Do not Paginate
Color Inserts:
Add Color Inserts No Color Inserts
Pricing (Notify professor prior to printing):
Yes, if retail exceeds $ No
Copyright needed:
Yes (must supply written approval) No
Color of Cover:
Gray Ivory TanPastel Canary Pastel Green Orchid
Pastel Blue Pink Peach Lift off Lemon Canary Galaxy Gold
Orbit Orange Rocket Red Violet Terra Green Gama Green Blue
Special Instructions:
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