Examination Request Form

Help us help you by filling out this brief survey about your program and examination needs. Restrictions apply: please read our examination and desk copy policy for more information. Reminder: audio, video and software may not be requested; not all teacher’s resources are eligible for examination. Free sample lessons, audio and multimedia demos, and journal reviews are also available online.

Name: *

Position:

School/District:

Email: *

Phone: *

Course Name(s):

Grades of Program:

(i.e. K-6, 9-12, college, etc.)

Course Enrollment:

Current book(s) in use:

Deadline for Adoption Decision:

Products of Interest (i.e. the titles or type of materials you are interested in reviewing): *

How did you find out about this product(s)?:

Are you ready to secure your examination copies now?:

Yes

A company reprentative will contact you regarding the above within 1-2 business days.

If you selected yes...

See examination policy for more information.

If yes, how would you like to examine these materials?:

Borrow for 90 Days

Buy at Discount (VISA and Mastercard accepted)

NOTE: select titles are available, review our policy

Shipping Address:

The address at which you want to receive the materials.

Billing Address:

The billing address for the credit card you will be using to complete your order. What's this?

If you are purchasing discounted exam copies, may we use the credit card on file?:

Yes

Comments:

Shopping cart

Examination Request Form