Recorded Textbook Request Form


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Recorded Textbook Request Form

Please fill out each field. Be sure to re-check spelling of authors and ISBN numbers. If you need additional books fill out a second form. If you have questions or need help feel free to email me at: lthorsel or call me at: ext. 1413.

Lisa Thorsell
Accommodations Coordinator

Name of Student requesting recorded textbooks

Title of Book 1

Authors

Publisher (i.e. Pearson, McGraw Hill)

ISBN Number (either 10 or 13 numbers)

Edition

Copyright

Course

Instructor

Title of Book 2

Authors

Publisher

ISBN Number

Edition

Copyright

Course

Instructor

Title of Book 3

Authors

Publisher

ISBN Number

Edition

Copyright

Course

Instructor

Title of Book 4

Authors

Publisher

ISBN Number

Edition

Copyright

Course

Instructor

Title of Book 5

Authors

Publisher

ISBN Number

Edition

Copyright

Course

Instructor

Title of Book 6

Authors

Publisher

ISBN Number

Edition

Copyright

Course

Instructor

Title of Book 7

Authors

Publisher

ISBN Number

Edition

Copyright

Course

Instructor

Title of Book 8

Authors

Publisher

ISBN Number

Edition

Copyright

Course

Instructor

Updated by Winona Academic Skills Center on Monday, August 11, 2008. Contact: asc@smumn.edu