Desk Copy Request

What's your subject?

If you are a professor or instructor who has adopted a book for their course, you can fill out this form to request a complimentary desk copy of the book.

To ensure that your request is processed quickly, please complete the required fields in the form below.

Desk Copy Request Form

Required fields are marked with a

Contact

Salutation:
Professor's First Name:
Professor's Last Name:
Title / Position:
Department:
Role:
University / Institution:
Email Address:
Street Address:

– Maximum 30 characters allowed.
City / Town / Locality:
State / Province / Region:
ZIP / Post Code:
Country:
Phone Number:

Book

Title:
Author(s)/Editor(s):
ISBN:

Course

Name:
Start Date (mm/dd/yyyy):
Anticipated Enrollment:
Institution Course Code:
Year of Study:
Current Text:
Frequency:
Qualification:

Bookstore Details

Bookstore details are required for verification of course adoption.

Bookstore Name:
Bookstore Phone Number:

Decision Date (mm/dd/yyyy):
Desk Copies Needed:
Comments:
Delivery Instructions:

Incomplete submissions will not be honored.

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