For Faculty: Supplementary Materials Request Form

Supplementary Material for Adopted Textbooks

Please complete the following form to request supplementary materials for textbooks that have already been adopted. All fields are required.

Instructor Information

Instructor's name:
Instructor's title:
University/college:
Department:
Street address:
Internal/campus address:
City:
State/province:
ZIP:
Country:

Office phone:
E-mail:	Please e-mail information about new books and special offers. Brookes never shares or sells e-mail addresses. Privacy policy

Book Information

Which book have you adopted and want supplementary materials for?

Course Information

Course name:
Number:
Level:	Undergraduate Graduate Both
	Number of students per term:
Fall:
Winter:
Spring:
Summer:
Bookstore:	The full name of the bookstore that has ordered the adopted text for this course.

	I certify that I have adopted the above book for use in my course.

Comments and Questions

Comments or questions?