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Order Form for Your Textbook and Software Buyer/Reseller


Print this form and fill it out for your school's textbook/software buyer. The filled-in form will help to expedite the purchase of your books and/or software by ensuring that the buyer has all of the information needed to get your title on the shelves in time for the first day of class. 
 
Bookstore or Buyer/Reseller Name: _________________________________________________ 
 
School:_______________________________________________
Department:___________________________________________
Course Name:__________________________________________
Course #________________   Section #:____________________
Expected Enrollment:______            ___Required   ____Optional
Books/Software are Needed by: (date)______________________
Semester
 
___Fall
___Winter
___Spring
___Summer
Year
______
______
______
______
 
 
TITLE & ORDER INFORMATION:  
Title:____________________________________
Author:__________________________________
Edition:___________  Copyright Year:_________
ISBN # :_________________________________
Please Order Titles From:
Out of Your Mind...and Into the Marketplace 
13381 White Sand Dr., Tustin, CA  92780-4565
Contact:  Linda Pinson, Distributor 
Call Toll Free:  1-800-419-1513
Fax Orders:  1-714-730-1414
            
INSTRUCTOR INFORMATION: 
Instructor:_______________________________     School Department:_______________________ 
Campus Telephone #:_____________________      Home Telephone #:_______________________ 
Home Address of Instructor:__________________________________________________________

Special Instructions or Comments:_____________________________________________________ 
_________________________________________________________________________________
__________________________________________________________________________________
 

_______________________________                _____________
         (Signature of Instructor)                                    (Date) 
 

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