Examination and Desk Copy Request Form

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BOOK INFORMATION

", "access": false, "subtype": "h4"}, {"name": "content-title", "type": "text", "label": "Requested Book : (required)", "access": false, "subtype": "text", "required": true, "className": "form-control", "maxlength": 200}, {"name": "radio-group-1703073095575-0", "type": "radio-group", "label": "

HAVE YOU ALREADY ADOPTED THIS BOOK?

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COURSE INFORMATION

", "access": false, "subtype": "h4"}, {"name": "text-1703052487138-0", "type": "text", "label": "Course Name : (required)", "access": false, "subtype": "text", "required": true, "className": "form-control", "maxlength": 100}, {"name": "text-1703052510073-0", "type": "text", "label": "Course Number : (required)", "access": false, "subtype": "text", "required": true, "className": "form-control", "maxlength": 100}, {"name": "number-1703052552137-0", "type": "number", "label": "Number of Students : (required)", "access": false, "subtype": "number", "required": true, "className": "form-control"}, {"name": "text-1703052609704-0", "type": "text", "label": "When are you planning to use this book : (required)", "access": false, "subtype": "text", "required": true, "className": "form-control", "maxlength": 300}, {"name": "checkbox-group-1703053039330-0", "type": "checkbox-group", "label": "

How did you hear about LIVED PLACES PUBLISHING?

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