Instructional Materials Request Form
Please complete one form per textbook or workbook.

Fill out as much information as possible provided with quote (if applicable), online source, or information gathered from the physical copy you are requesting. The UPC code on a physical textbook contains 2 sets of numbers. The 13-digit number is same as the ISBN needed for ordering. If there is only a 10-digit number, please include that instead.

After submitting online form, please send a quote (if applicable) via pony or email to Lori Garcia.

If you have any questions or need help filling out this form, please contact Lori at extension 5954 or
Email address *
By selecting YES as a response, you are confirming you have discussed the request with your Academic Dean. *
Name of person placing order: *
Your answer
Contact Person *
(Who to deliver to:)
Your answer
Course Name(s) *
Please list each course name & number (be specific, IV AP, AP, PAP, etc.)
Your answer
Select Subject *
Select Campus *
Grade (Select all that apply) *
Textbook Name *
Please include FULL TITLE and EDITION if applicable
Your answer
ISBN: 13 digits (typically same as barcode) or 10-digit if 13-digit is unavailable *
For non-textbook materials, please include item number. If unknown, type unknown.
Your answer
Publisher *
Other Publisher Entry
Your answer
Select Language of Materials *
Student or Teacher Edition? *
What percentage of TEKS does this material cover?
Publisher should be able to provide this info with quote. If under adoption, info is listed on Proclamation document. If you are unsure, type "Unknown"
Your answer
HARD COPIES Requesting *
Enter the number of books you are requesting. If you need books for the entire enrollment within a grade level or course, please write the word ENROLLMENT.
Your answer
Type of Online Version Requesting *
How many DIGITAL VERSIONS / LICENSES are you requesting? *
NOTE: If based on enrollment projections, type ENROLLMENT. This can be a different number than Hard Copies when purchasing class sets.
Your answer
If this is a package deal or has ancillary materials, please describe here.
Your answer
How many teacher editions do you need to accompany this title? *
Include sales rep name, phone number and website here (if available or applicable).
If unknown, leave blank.
Your answer
Budget Code to use ONLY if different from IMA (textbook) funds
Your answer
Never submit passwords through Google Forms.
This form was created inside of Alamo Heights ISD. Report Abuse