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ESL/ELT Desk Copy Request Form

The University of Michigan Press is pleased to provide desk copies of any adopted text plus requested available instructor's manuals when ten or more copies of the text are ordered directly from us.

Please note: you must fill out the following form completely in order to have your request considered. Requests that do not include complete information may be denied.

To request a desk copy of a non-ESL/ELT title, please see the Desk Copy Request Page.


Requestor's Information

Last Name:

First Name:

Position:


Ship-to address (must include street address and zip code—please do not list a P.O. Box number):

Home Business

Street Address Line 1:

Street Address Line 2:

City: State:

ZIP Code: - (Find ZIP code + 4-digit suffix)

Country: Country Postal Code:

Email Address:
You MUST fill in your email address for this form to reach us.

Daytime Telephone Number:
(Provide the telephone number of the ship-to address above)



Instructor's Information

School:

Institution Type:

Department:

Last Name:

First Name:

Email Address:

School Phone Number:


Adopted Text

Title:

Author (last name):

ISBN (no dashes):
(You can locate the 13-digit ISBN for a title using our advanced search page. The ISBN appears just before the price.)

This book will be a: Required Textbook Recommended or Optional Textbook


Course Information

Course Number:

Course Title:

Level of Students:

Course Start Date:

Enrollment for this Term:

Bookstore where orders have been placed:

Link to Syllabus:



Further Information

If you are interested in our materials but would like more information on the book listed above, please type your questions or comments here:


Reference Code:


Please review the information you have entered to make sure it is correct. When you are finished, click "Submit Request" to send us your exam copy request.

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