Health Professions Press | For Faculty: Exam Copy Request Form

Exam Copy Request Form

Please note: Exam copies are available to college and university professors who are considering adopting the requested book for a class. All other individuals should review our 30-day, money-back returns policy. Because these books are complimentary, please limit your selection to two titles that are relevant to your classroom needs. All requested information must be supplied to process your order for a complimentary copy.

Items marked with * are required.

1. Book Information

*Title:
*Author:
*ISBN:

How likely is this text to be adopted?

Already Adopted
Very Likely
Likely
Not Very Likely

If adopted, this text will be used as:

Primary reading
Supplementary reading

*How did you hear about this book?

2. Course Information

*Title:
*Number:
*Enrollment:
*Term:
*Decision Date:

*Which text are you currently using for this course?

*With what bookstore will your order be placed if the text is adopted?

3. Shipping and Contact Information

*Name:
*Your Title:
*Department:
*Institution:
*Street Address:	Please note: A valid street address is required for UPS delivery.
Internal / Campus Address:	Please note: An internal / campus address may be added for internal delivery purposes but may not replace the street address.
*City:
*State:
*ZIP:
*Country:

*Phone:
Fax:
*E-mail:	Note: Your e-mail address will be used only for purposes related to your request. Health Professions Press does not share or sell e-mail addresses. See our privacy policy for details.