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Course Packet Requisition Form
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Course Packet Requisition Form
Course Packet Requisition Form
mhadmin
2017-09-26T05:45:20+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.
Office Location
Estimated Enrollment
Semester
Select a semester
Fall
Spring
Summer 1
Summer 2
Summer 1&2
Minimester
Upload your File (7MB limit)
Additional instructors using this packet
Additional information you would like on the cover
About your pack
This pack is
Select one
Required
Recommended
Available Online
Cover Color
Type of printing
Single Sided
Double Sided
Paper
Plain
3-Hole (no additional charge)
Third Choice
Binding
Select One
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
From
To
ISBN / ISSN#
Copyright Year
Volume
Volume #
Edition
