REQUEST FOR TEXTBOOK IN ALTERNATE
Please fill in all blanks
to request a textbook in alternate format.
STUDENT ID #:
COMPLETE BOOK TITLE:
ISBN NUMBER (look on the back
of the title page of the book):
NOTE: This must be the ISBN number
that is inside the book itself. Packages that include the book (such as book
+ CD or book + study guide)
have a separate ISBN number for the package. Providing that number will result
in the order being returned and the book delivery being delayed.
WHERE WAS BOOK PURCHASED? (e.g.
KSU BOOKSTORE, AMAZON, etc.):
NEW OR USED?:
I have purchased this textbook and
have a receipt.
COURSE NAME/NUMBER (e.g. ENGL
OTHER INFORMATION ABOUT THIS BOOK
Contact Amy Redd (firstname.lastname@example.org)
with any problems or concerns.