ESL/ELT Inspection/Exam Copy Request Form

You must fill out all fields on the form to have your request considered. Requests that do not include complete information may be denied.

If your course is new, please supply a short list of the course goals in the Further Information field.

We reserve the right to limit the quantity of books requested and sent. Please allow 2 to 4 weeks for delivery within the U.S. and 4 to 6 weeks for international delivery. International customers should be aware that their requests may be forwarded to the UMP representative/distributor in their country.

To request an inspection/exam copy of a non-ESL/ELT title, please see the Inspection/Exam Copy Request page.

Requestor's Information

First Name:

Last Name:

Ship-to address:

  • MUST include street address for delivery—do not enter P.O. Box number
  • Business/academic address MUST include university and department name

Home Business

School:

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:

Book 1

Book Requested:

ISBN (no dashes):

Current Text:

Course Title:

Level of Students:

Course Start Date:

Adoption Decision Date:

Course Enrollment for this Term:

Book 2

Book Requested:

ISBN (no dashes):

Current Text:

Course Title:

Level of Students:

Course Start Date:

Adoption Decision Date:

Course Enrollment for this Term:

Further Information

If you are interested in our materials but would like more information on the books 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 inspection/exam copy request.

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