Desk/Exam Copy Request Form

Publishers are pleased to provide desk copies of any adopted text plus requested available supplements such as instructor's manuals, solutions manuals and test banks when sufficient quantity of texts are ordered directly from the publisher.

Please send this Desk Copy Request Form to the publisher or to your publisher representative.

To:
The Ohio State University
Foreign Language Publications
198 Hagerty Hall
1775 S. College Rd.
Columbus, OH 43210
USA

Date: __________________________________

Your Book:

Author: ______________________________________________________________

Title and Edition: _____________________________________________________

ISBN: _______________________________________________________________

has been adopted for my course #: _____________________________________

Which has the course title of: ________________________________________________________________

as a (please indicate one):

______ Required textbook ______ Recommended or Optional textbook

This course is begins on (calendar date or year and term): ____________________

I have advised the bookstore(s) that the estimated enrollment will be: __________

Name: _____________________________________________

Position: ___________________________________________

Deparment: ___________________________________________

School: _______________________________________________

Address: ______________________________________________________

City/State/Zip: ________________________________________________

Phone: _____________________ E-Mail: ______________________________

Office Hours: ________________________________________________________

With This Request would you please send the following supplements: (Please be Specific)

_____________________________________________________________________

I have no previously received a desk or complimentary copy of this textbook.

Please sign: _______________________________________________________