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Desk Textbook Copy Request
"Complimentary desk copies will be provided only when the book is assigned as a required purchase for your students."

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Course Information
Course Title & Number
Enrollment
Estimated # of Students
Books currently in use
Decision Date
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Address
First Name
Middle Name
Last Name
Email address
School/University
Department
Telephone
Address
City
State/Province
Zip/Postal code
Country
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