SWCC Shoppe Textbook Order Form

The SWCC Shoppe is now taking book reservations for fall 2024 classes. Please complete the form below to place your book reservation. We will begin filling orders for the fall term on Aug. 1, 2024. You may select to pick up your books or have your books shipped to the address on the form. If you would like for your books to be shipped, please fill out the date you would like to pick up your books. We can also ship your books to you for a fee of $25. If you plan to pick up your books in person, and want to utilize a charge slip, be sure to stop at the business office in the Administration Center first.

If you are an LPN or RN student, please fill out this form to reserve your nursing scrubs.

For questions, please call the SWCC Shoppe at 641.782.1430.

Student Info

First Name *

Last Name *

Student ID

Address *

City *

State *

Zip *

Phone *

Email address *

Course Information

Course name/numbers *

Are you a nursing student? *

Yes

No

Nursing Scrubs

Type of Scrubs *

Men's

Women's

Red Nursing Scrub Top

Black Short Sleeve Undershirt

Black Long Sleeve Undershirt

Jacket (Optional)

Black Pants

Number of nursing patches

Payment

How are you paying? *

Financial Aid

Credit Card

If credit/debit card is selected, the SWCC Shoppe staff will be calling you, to obtain that information over the phone. Do not put your credit or debit card information on this form.

How would you like to get your books? *

Other

Anything else we can help you with?