Instructor Book Request Form
This form for use by instructors only.

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Instructor
Course #	i.e. 111:222
Course Name
Type of Course	Choose One ... Creston Fast Track Online Osceola Red Oak Telecourse
Term Required	Choose One ... Fall Winter Fast Track Spring Summer Fast Track1 Summer 1 Summer 2 Summer Fast Track 2
Author
Title
Edition
ISBN #
Quantity
Publisher	Choose One ... 29TH STREET PRESS AISC AMERICAN TECHNICAL PUBLISHERS BLACKWELL PUBLISHING CIMC-CCS COOK COMMUNICATIONS MINISTRIES CRC PRESS I LLC DDC TRAINING SERVICES ELSEVIER SCIENCE EMC/PARADIGM PUBLISHING F&W PUBLICATIONS INC F.A. DAVIS COMPANY GOODHEART-WILLCOX CO INC GUILFORD PUBLICATIONS, INC. HAL LEONARD PUBLISHING HEARLIHY & CO. HOLTZBRINCK PUBLISHER LLC HOUGHTON MIFFLIN COMPANY JOHN WILEY & SONS INC JONES AND BARTLETT PUBLISHERS LIPPINCOTT WILLIAMS & WILKINS MATTHEWS MEDICAL BOOK COMPANY MCFARLAND & COMPANY, INC. McGRAW - HILL BOOK COMPANY MUSEUM STORE/ST. HIST. BULD. NACSCORP INC NEBRASKA BOOK COMPANY NEBRASKA DEPT OF AGRICULTURE NEIL ENTERPRISES, INC O'REILLY AND ASSOCIATES OXFORD UNIVERSITY PRESS PEARSON EDUCATION QUANT SYSTEMS, INC. SCOTT/JONES, INC STIPES PUBLISHING LLC SYSTEMS INCORPORATED T.H. PEEK PUBLISHER THOMSON LEARNING UNIVERSITY OF CHICAGO UNIVERSITY PRESS OF MISSISSIPPI W W NORTON & COMPANY INC WARNER BROS. PUBLICATIONS OTHER
Other Publisher
Supplies Needed/Comments
Click on the box if you currently use this book and will continue  to use it the next time the course is offered.