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Course Packet Requisition Form
mhadmin
2021-01-14T18:12:36+00:00
Campus
Pick your campus
Blinn College
TAMU
Course Number
Office Phone #
Instructor (Last Name)
Home #
First Name
Fax #
Email address
The attached work is my own work, I own the rights.
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Semester
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Fall
Spring
Summer 1
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Summer 1&2
Minimester
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Max. file size: 10 MB.
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Required
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Cover Color
Type of printing
Single Sided
Double Sided
Paper
Plain
3-Hole (no additional charge)
Third Choice
Binding
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Tape Binding
Spiral
Coil
Shrink wrap?
No
Yes
Stapled:(50 sheets or less)
No
Yes
How many desk copies?
Additional instructions
Copyrighted Material #1
Article Sequence
Author/Editor/Translator
Publisher / Copyright Holder
Book / Journal Title
Chapter / Article Name
Pages requested
From
To
Chapter / Article Author
ISBN / ISSN#
Copyright Year
Volume
Volume #
Edition
Copyrighted Material #2
Article Sequence
Author/Editor/Translator
Publisher / Copyright Holder
Book / Journal Title
Chapter / Article Name
Chapter / Article Author
Pages requested
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To
ISBN / ISSN#
Copyright Year
Volume
Volume #
Edition
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