If you would like to use one of our publications as a textbook, and would like a review copy, please provide us with the following information
Name of the publication you would like to use ✻
Publication number
Author ✻
Name of the class in which the publication will be used ✻
Is this an ADA request for a student with a disability? ✻
If yes, stop here. Please e-mail Cynthia Kintigh at cckintigh@ucanr.edu for a request form for ADA materials.
If no, please proceed with the rest of the survey.
Term and year in which the class will be taught ✻
Anticipated enrollment in the class ✻
Name of professor teaching the class ✻
Name of college or university ✻
Contact and shipping information
Contact name ✻
Shipping address:
We prefer to ship by UPS so please no PO Boxes ✻
Contact e-mail ✻
Contact daytime phone ✻
Additional comments
Bookstore information
We'll send your bookstore information about ordering, discount, and return policies for resellers.
Name of your bookstore ✻
Bookstore contact name
Bookstore contact e-mail
For verification that you are human, please enter the following code in the box below: ONXSUQ
(if the code is not entered correctly, the survey will not be submitted)
