Desk Copy Request Form

For adopted textbooks only
Please type or print

Publishers are pleased to provide desk copies of any adopted text plus requested available supplements such as instructor's manuals, solutions manuals and test blanks when sufficient quantity of texts are ordered directly from the publisher. (In our case, 10 or more copies.) Review, complimentary or on approval copies must be requested on departmental letterhead.

Please send this desk copy request directly to the publisher or to its local representative.

Date:              
To: The University of Michigan Press
Attn: Marketing Director
839 Greene St.
Ann Arbor, MI 48104-3209
FAX: 734-615-1540

Your book:

Author                                                                                 

Title & Edition:                                                                                                                                                                

ISBN:                                        

Has been adopted for my course #            , which has the course title of

                                                                                                                                                                

As a (please indicate one):
             Required textbook
             Recommended or Optional textbook

This course is scheduled to begin on (calendar date or year and term):                         

I have advised the local bookstore(s) that the estimated enrollment will be:                         

Name of Bookstore where orders have been placed:                                                                                                                                                                                                                                                 

Phone Number of Bookstore where orders have been placed:                                         

Your Name:                                                                                                                 

Position:                                                         

School:                                                                                                                 

Department:                                                                                                   

School Phone #:                                    

Address:                                                                                                                                                                                     

City, State & Zip:                                                                       

Office hours:                                     

With this request would you please send me the following supplements: (please be specific)                                                                                                                                                                                                                                             

I have not previously received a desk or complimentary copy of this text.

Signature:                                                                                                                    

The University of Michigan Press