Exam 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.

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. International customers should be aware that their requests may be forwarded to the UMP representative/distributor in their country.

To request an exam copy of an ELT title, please use the form on the English Language Teaching website.

Requestor's Information

First Name:

Last Name:

Ship-to address:
You MUST include the street address for delivery; do not enter P.O. Box numbers; business/academic addresses MUST include the 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:

Course Start Date:

Adoption Decision Date:

Course Enrollment for this Term:

Will an ebook version suffice for examination purposes? Yes No

Book 2

Book Requested:

ISBN (no dashes):

Current Text:

Course Title:

Course Start Date:

Adoption Decision Date:

Course Enrollment for this Term:

Will an ebook version suffice for examination purposes? Yes No

Further Information

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

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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