Dowdy Student Stores COURSE PACKET, CD & DVD ORDER FORM
EastCarolinaUniversity
WrightBuilding Student Copies ______Desk Copies______
(Phone) 328-6731 (Fax) 328-4359
ISBN#______
Due Date - July 15th 2015
Course______Section______Term______
Instructor’s Name______Office Phone ______
Home Phone ______Campus Address ______
Is this course packet required? Yes____No____
Will it be on reserve in the Library? Yes____ No____
Have we produced this for you before?Yes____ No____
If reordering, will there be changes made?Yes____No____
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Would you like us to secure © permission for you?Yes____ No____
Is there a departmental fee?Yes____No____
If answered yes to fee, please list amount $______Payee______
PRINTING INSTRUCTIONSBINDING CHOICECOVER CHOICE
____ SINGLE SIDED ___ 3 HOLE PUNCH___ ORIGINAL ___ GENERIC
____ DOUBLE SIDED ___ GBC BIND CIRCLE YOUR COLOR CHOICE
_____ PAGES NUMBERED ___ COIL BIND RED TAN PINK GRAY ORCHID GOLD
_____ # OF PAGES ___ TAPE BIND LIME LEMON ORANGE IVORY TURQUOISE
_____ TABS ___ 3 RING BINDER______PURPLE GOLD YELLOW LT.BLUE HOT BLUE
_____LAMINATE COVER ____ STAPLE ____ GREEN HOT FUCHSIA CHERRY HOT GREEN
OTHER COLOR CHOICE:______
CD/DVD______Cases______Notebook______
Special instructions: ______
Please check all that apply and sign the following agreement:
___The materials I have submitted contain © work; I understand that there may be fees to pay the © owner(s).
___ I have permission from all © owners to reprint and will provide this to Dowdy Student Stores.
___ I have provided a detailed bibliography for all © items to Dowdy Student Stores.
Signed______Date______
Revised Sep-18 Please use the back of this form for © bibliography if needed.
© BIBLIOGRAPHY SHEET OFFICE USE
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Revised Sep-18 Please use the back of this form for © bibliography if needed.