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Southeastern
>
Administration
>
Textbook Rental
> Textbook Rental Adoption/Discard Form
Textbook Rental Adoption/Discard Form
Fields marked with an * are required.
Department:
*
Semester:
*
(ex. Spring 2011)
Request Type:
*
(Adopt/Discard)
Discard Book#:
*
Custom Book Info Required
Original Cost:
*
Custom:
*
Custom Revisions:
*
Course One
Subject:
*
(ex. EGNL)
Catalog #:
*
(ex. 101)
Course ID and Component:
*
(011000, Lecture)
Course Two
Subject:
*
(ex. EGNL)
Catalog #:
*
(ex. 101)
Course ID and Component:
*
(011000, Lecture)
Course Three
Subject:
*
(ex. EGNL)
Catalog #:
*
(ex. 101)
Course ID and Component:
*
(011000, Lecture)
Course Four
Subject:
*
(ex. EGNL)
Catalog #:
*
(ex. 101)
Course ID and Component:
*
(011000, Lecture)
Course Five
Subject:
*
(ex. EGNL)
Catalog #:
*
(ex. 101)
Course ID and Component:
*
(011000, Lecture)
Author:
*
Exact Title:
*
ISBN #:
*
(13-Digit ISBN is required)
Edition:
*
Copyright Year:
*
Est. Qty:
*
Publisher:
*
Book Rep:
*
ISBN Book Type:
*
(Hardback/Paperback/Custom)
Semesters Used:
*
Fall
Spring
Summer
Rental Policy
Please review Textbook Rental Policy
Department Head Signature: _______________________________
Date: __________
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