REQUEST FOR NEW TEXTBOOK PURCHASE
All Information Must Be Completed to Process This Request
Textbook Information
Author(s)
Title
Date of Publication
Publisher
ISBN Number
Package or Custom ISBN Number
List Price
Number of Copies Requested
Semester Needed
Course(s)/Section(s)
NEW All requests for new editions of the same title require
the following information:
1. The copyright dates of the 3 previous editions (if any)
2. A description of the content changes made (if any)
3. The existence and price of alternative formats (if any):
____________________________________________
1. Copyright Dates: a.) b.) c.)
2. Description of the Content Changes of Requested Edition
NEW All requests that are packaged or “bundled” with
various supplemental materials and additional instructional
tools require the price of each item.
Textbook Price
Supplemental Materials Price
Supplemental Materials Price
Important Information
The Textbook Rental Service does not purchase books for workshops, special courses, Independent Study, Internship, Research or Thesis courses-Internal
Governing Policy #49. In addition, the sum of the list prices of approved basic textbooks for any one course shall not exceed the current year’s cost limit.
Textbook Rental Service will not issue textbooks for instructional use. It is the responsibility of the Instructor or Department to order his/her desk copy. If
additional information is needed, please contact the Textbook Rental Service.
Discard Information
List below any books which this title will replace. The Textbook Rental Service will deliver 1 copy for departmental use, if noted. Please indicate if you are
interested in this option: YES NO . All other copies will be sold or disposed of by Textbook Rental Service. By signing this request, you have
authorized the removal of these titles. Textbook Rental Service set number information and complete textbook holdings for each course can be located at
www.eiu.edu/~textbks/list/.
TRS Set # Author Title
TRS Set # Author Title
TRS Set # Author Title
Signatures
Requested by Signature-Instructor (Required) Date
Telephone Number
Email Address
Approval Signature-Dept. Chairperson (Required) Date
Telephone Number
Email Address
DO NOT WRITE BELOW THIS LINE. TRS OFFICE USE ONLY
Set Number
Course
Order Number
Author
Title
Edition
Number of Copies
Pub Code
Term/Year
Binding P C S
ISBN Number
Package ISBN Number
Custom ISBN Number
Order Date
Account Number Order Confirmation Number
Shipping Method UPS Other
Revised September 2010
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