Gainesville State College Disability Services
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Alternative Media Book Request

 

Please fill out the form as completely as possible. 

Please click "SUBMIT" when finished.  This form will be sent to Adrienne Henley via email.

Ms. Henley will order your book when this form is received, however, you MUST bring your receipt to pick up your book.

 

Title  
Author  
Edition   Copyright  
Publishing Company  
ISBN
(This number is on the back of the book above the bar code)
Price of Book  
Where was book bought?  
Class book was bought for?  
Which Alternative Format do you prefer?

 

Electronic Text   

 

CD 

 

Student Name

****Save Book Receipt and Bring to Disability Services Office

 

 

 

 

 

 

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