Exam and Desk Copy Request Form

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I am considering adopting this book/these books for my course (exam copy)

I have already adopted this book/these books for my course (desk copy)

Professor First Name *

Professor Last Name *

Institution *

Department *

Phone *

Email *

Please provide an email address so we can send you tracking information regarding your shipment.

Street Address 1 *

Must be an institutional address.

Street Address 2

City *

State/Province *

Postal Code *

Country *

Exam copies ship free of charge only to U.S. addresses. Requestors must pay shipping to all other addresses.

Course Title *

Course Number *

Course Start Date *

Enter the year and semester/month that the course starts.

Projected Enrollment *

Education Level *

Comments

Additional Desk Copies

New Harbinger will provide an additional desk copy for every 30 enrolled students. Multiple desk copies may be consolidated into a single shipment, but we require the name and contact information of each instructor.

If you need multiple desk copies, check the box below. Click on the Instructors button below, and complete the form for each additional desk copy.

Multiple Desk Copies

I need multiple desk copies

Exam and Desk Copy Request Form

Contact Information

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Exam and Desk Copy Request Form