Textbook Request
J. Graham Brown School

Please complete this form to request the purchase of textbooks, workbooks, and other instructional materials. Please submit a new form for each unique textbook.

Email address
Teacher Name
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Level
Course/Grade
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This request is to
Required for MS/HS Hardback Textbooks only - Provide an instructional rationale for purchasing this textbook.
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Required for MS/HS Hardback Textbooks only - In what year was your current textbook published?
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Title/Description (include specific edition, etc.)
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Publisher
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Year Published
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ISBN (Student Edition)
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Student Quantity Requested
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Student Edition Unit Cost (if known)
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Optional: Teacher Edition ISBN
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Optional: Teacher Edition Quantity Requested
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Optional: Teacher Edition Unit Cost (if known)
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Please list any ancillary materials you are requesting with this textbook.
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Total Estimated Cost
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A copy of your responses will be emailed to the address you provided.
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