Textbook Requisition

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txtbkreq

This form must be submitted for an order to be placed. For more information contact:

Janet Robbins, Textbook Manager
Email: robbinjl@potsdam.edu
Phone: 267-2218

*All fields required

Date Ordered (MM/DD/YY):

Department:

Course:	Section:

Instructor:

Email:	Phone:

Term Course Offered:


BOOK 1
Author:	Title:

Edition:	Publisher/Imprint:

ISBN:	Total Requested:
Re-Adoption? Yes No	Required? Yes No
Estimated Enrollment:	Comments:
BOOK 2
Author:	Title:

Edition:	Publisher/Imprint:

ISBN:	Total Requested:
Re-Adoption? Yes No	Required? Yes No
Estimated Enrollment:	Comments:
BOOK 3
Author:	Title:

Edition:	Publisher/Imprint:

ISBN:	Total Requested:
Re-Adoption? Yes No	Required? Yes No
Estimated Enrollment:	Comments:
BOOK 4
Author:	Title:

Edition:	Publisher/Imprint:

ISBN:	Total Requested:
Re-Adoption? Yes No	Required? Yes No
Estimated Enrollment:	Comments:
BOOK 5
Author:	Title:

Edition:	Publisher/Imprint:

ISBN:	Total Requested:
Re-Adoption? Yes No	Required? Yes No
Estimated Enrollment:	Comments:
BOOK 6
Author:	Title:

Edition:	Publisher/Imprint:

ISBN:	Total Requested:
Re-Adoption? Yes No	Required? Yes No
Estimated Enrollment:	Comments:
BOOK 7
Author:	Title:

Edition:	Publisher/Imprint:

ISBN:	Total Requested:
Re-Adoption? Yes No	Required? Yes No
Estimated Enrollment:	Comments:
BOOK 8
Author:	Title:

Edition:	Publisher/Imprint:

ISBN:	Total Requested:
Re-Adoption? Yes No	Required? Yes No
Estimated Enrollment:	Comments:
BOOK 9
Author:	Title:

Edition:	Publisher/Imprint:

ISBN:	Total Requested:
Re-Adoption? Yes No	Required? Yes No
Estimated Enrollment:	Comments:
BOOK 10
Author:	Title:

Edition:	Publisher/Imprint:

ISBN:	Total Requested:
Re-Adoption? Yes No	Required? Yes No
Estimated Enrollment:	Comments:

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