Desk Copy Request Form

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 an ESL/ELT title, please see the ESL/ELT Exam and Desk Copy Request Page.

We reserve the right to limit the quantity of books requested. Please allow 2 to 4 weeks for delivery within the U.S. and 4 to 6 weeks for international delivery.

Requestor's Information

Last Name:

First Name:

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

Home Business

Address 1:

Address 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

Book Requested:

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 Text Recommended or Optional Text

Course Information

Course Title:

Course Start Date:

Enrollment for this Term:

Bookstore where orders have been placed:

Link to Syllabus:

Further Information

If you would like more information on the book listed above, please type your questions and/or comments here:

What is your favorite color?:

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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