ࡱ> ')&@ jbjb " l f00000000,z  000000000000h $ ˹F^,2 2 REQUEST FOR SUPPLEMENTARY TEXTBOOK OR STUDENT PURCHASE ITEMS (Please use a separate form for each item requested.) This form is to be used to request Supplemental Textbooks or Student Purchase Items that may be recommended to the student for purchase. Textbook Rental Service does not purchase textbooks for workshops, special courses, independent studies, internships, research, or thesis courses; or for courses whose title or course description includes words such as seminar, special topics, or studies in. Also included in this category are: additional reading textbooks, workbooks, dictionaries, reference books, handbooks, manuals, laboratory manuals, and consumable materials. These textbooks and/or supplies are not issued or sold by Textbook Rental Service. The above items may be approved for purchase if the instructor considers it desirable and the Department Chair approves the request. The instructor may suggest that the student purchase the item, but cannot insist. The item cannot exceed one-half the current years approved Textbook Rental fee. If software is included, the item cannot exceed one-half the current years approved Textbook Rental Fee plus $25.00. If more than one request is being made for a class, the total cost of the requests cannot exceed the above limits. This request will not be automatically renewed for successive terms that the course is offered. A new request must be submitted each time they are to be used for a section of a course. ALL INFORMATION BELOW MUST BE COMPLETED OR THE REQUEST WILL BE DENIED. Please type. Description of Item: _________________________________________________________________ Title: _____________________________________________ ISBN # _________________________ Author: ___________________________________________ List Price $_______________ per copy Publisher: _________________________________________Date of Publication: _______________ Course #: ___________________ Section #: _______________ Semester/Year: ________________ Name of Instructor: ________________________________ Estimated Enrollment: _____________ Signature of Instructor: _______________________________________________________________ Contact Info: Phone #: ________________ e-mail: ________________ fax #: __________________ Signature of Department Chair: ________________________________________________________ Contact Info: Phone #: ________________ e-mail: _______________ fax #: ___________________ Date of Request: ____________________________________________________________________ &=s6~[ ^  ' * =     / 7 : D n )=Og&bx 6OJQJ >*OJQJOJQJ 5OJQJ5CJ OJQJ5@&=>tu   ( ) 8 9 MNh^h & F$a$&=>tu    ' ( ) 8 9 MN`a   &N`ah^h / =!"#$% i4@4NormalCJOJPJQJmH <A@<Default Paragraph Font0>@0Title$a$ CJ OJQJ !z  N  "& (8 ::: Mitch CoeRMac HD:Users:mitchcoe:Documents:Microsoft User Data:AutoRecovery save of Document1 Mitch CoeZip 100:newsuppform.doc Mitch CoeZip 100:newsuppform.doc Mitch CoeZip 100:newsuppform.doc Mitch CoeSMac HD:Users:mitchcoe:Documents:Microsoft User Data:AutoRecovery save of newsuppfor Mitch CoeZip 100:newsuppform.doc Mitch CoeZip 100:newsuppform.doc Mitch CoeAMac HD:Users:mitchcoe:Desktop:Required Reading:studpurchsupppurch+3-h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(+3         @XOM @ @GTimes New Roman5Symbol3 Arial3Times? Courier New;Wingdings h'Tj'TjjfuP!>0d5 R@%REQUEST FOR SUPPLEMENTARY TEXTBOOK OR Mitch Coe Mitch Coe Oh+'0 $ @ L X dpx'&REQUEST FOR SUPPLEMENTARY TEXTBOOK ORofEQU Mitch CoeR itcNormalo Mitch CoeR 2tcMicrosoft Word 10.0@F#@ WRj@2qp@2qpuP ՜.+,0$ hp  'Eastern Illinois University5 $ &REQUEST FOR SUPPLEMENTARY TEXTBOOK OR Title  !"#$%(Root Entry FJ{p*1TableWordDocument"SummaryInformation(DocumentSummaryInformation8CompObjXObjectPoolJ{pJ{p FMicrosoft Word DocumentNB6WWord.Document.8