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Books in Alternative Text Request Form
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Semester:
Fall
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Summer
Student ID #:
Name:
Phone:
Email:
Complete the section below for the first book you need in Alternative Text.
Class:
Class Catalog #:
(as shown on class schedule)
Instructor:
Book Title:
ISBN:
Author:
Edition:
Publisher:
Copyright yr:
Complete the section below for the second book you need in Alternative Text.
Class:
Class Catalog #:
(as shown on class schedule)
Instructor:
Book Title:
ISBN:
Author:
Edition:
Publisher:
Copyright yr:
Complete the section below for the third book you need in Alternative Text.
Class:
Class Catalog #:
(as shown on class schedule)
Instructor:
Book Title:
ISBN:
Author:
Edition:
Publisher:
Copyright yr:
Complete the section below for the fourth book you need in Alternative Text.
Class:
Class Catalog #:
(as shown on class schedule)
Instructor:
Book Title:
ISBN:
Author:
Edition:
Publisher:
Copyright yr:
Complete the section below for the fifth book you need in Alternative Text.
Class:
Class Catalog #:
(as shown on class schedule)
Instructor:
Book Title:
ISBN:
Author:
Edition:
Publisher:
Copyright yr:
