Examination Copy Request Form

To Request an Examination Copy

Please fill out the following information and then click on SEND.
The information must be complete for processing.

First Name
Last Name
School / Institution
Department
Street
City
State
Zip Code
Office Hours
Telephone Number	() -
E-mail Address
Your course title Course number Estimated annual enrollment Important - Please select the category that most closely fits your course content. Text currently used - Important - Please Provide(title&auth) Publication you request (author and title):

I am considering this text for possible adoption for:

Committee members:

Additional examination copy request:

Course title:
Course number:
Estimated annual course enrollment:
Important - Please select the category that most closely fits your course content.

Text currently used - Important - Please Provide(title&auth):
Publication you request:
I am considering this text for possible adoption for:

Holcomb Hathaway, Publishers, Inc.
6207 N. Cattle Track Rd., Suite 5, Scottsdale, AZ 85250
phone: 480-991-7881 • fax: 480-991-4770

______________________________________________________________________________

Please direct technical comments or questions to:
webmaster@hh-pub.com