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Textbook Adoptions
Please fill out this Textbook Adoption Form with as much information as possible. If you have more than six titles to request, you may add more titles by filling out this form again. Once you have completed the form, press the submit button at the end and a confirmation of the order will be sent to you within 3 business days.
Contact information:
Instructor Name
[REQUIRED]
:
Phone
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Email Address
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Confirm Email Address
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Course information:
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: (If you are teaching more than one course, please use a separate form for each course. )
ALI
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PORT
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ENGR
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METR
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LS
[REQUIRED]
Course Number and Section:
Course Schedule ID (if known):
Estimated Enrollment:
Course Special Instructions:
No Test Forms
Scantron 882-ES
Scantron 884-ES
Scantron 815-E
Zeus Form 75482
ParSCORE F-1712-PAR-L
ParSCORE F-289-PAR-L
ParSCORE X-101874
ParSCORE 20787-ERI-L
ParSCORE 20788-ERI
ParSCORE 21577-ERI-L
ParSCORE 22523-ERI-L
Blue or Green Book.
Other (Please List In Course Supply Needs Field)
Course Supply Needs (calculators, special paper, lab materials, etc.):
Are you using the same titles as a previous term?
(If not, please continue to 1st Book Information below)
Already filled in the contact information and course information?
If so, select the term:
Spring 2010
Fall 2009
Our staff will contact you to confirm the titles.
By selecting a term here, you've completed the form (Contact and course information cannot be left blank).
Click the RENEWAL submit button right below.
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If so, please check this box:
Using No Textbooks
and help us keep your students informed.
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Click the NO TEXTBOOKS submit button right below. Our staff will contact you to confirm the information.
OR Continue...
1st Book information:
Author:
Title:
ISBN (10 OR
13
):
Publisher:
Edition:
Copyright Year:
Required/Optional:
Required
Optional
When is this text used:
All Semester
1st Five Weeks
2nd Five Weeks
Last Five Weeks
NEWER Edition if available?
Yes
No
2nd Book information:
Author:
Title:
ISBN (10 OR
13
):
Publisher:
Edition:
Copyright Year:
Required/Optional:
Required
Optional
When is this text used:
All Semester
1st Five Weeks
2nd Five Weeks
Last Five Weeks
NEWER Edition if available?
Yes
No
3rd Book information:
Author:
Title:
ISBN (10 OR
13
):
Publisher:
Edition:
Copyright Year:
Required/Optional:
Required
Optional
When is this text used:
All Semester
1st Five Weeks
2nd Five Weeks
Last Five Weeks
NEWER Edition if available?
Yes
No
4th Book information:
Author:
Title:
ISBN (10 OR
13
):
Publisher:
Edition:
Copyright Year:
Required/Optional:
Required
Optional
When is this text used:
All Semester
1st Five Weeks
2nd Five Weeks
Last Five Weeks
NEWER Edition if available?
Yes
No
5th Book information:
Author:
Title:
ISBN (10 OR
13
):
Publisher:
Edition:
Copyright Year:
Required/Optional:
Required
Optional
When is this text used:
All Semester
1st Five Weeks
2nd Five Weeks
Last Five Weeks
NEWER Edition if available?
Yes
No
6th Book information:
Author:
Title:
ISBN (10 OR
13
):
Publisher:
Edition:
Copyright Year:
Required/Optional:
Required
Optional
When is this text used:
All Semester
1st Five Weeks
2nd Five Weeks
Last Five Weeks
NEWER Edition if available?
Yes
No
Tuesday 09 March, 2010
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