Alternate Media Books Request Form

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Please complete a separate form for each textbook you would like converted and is required for your classes.

Also, complete a separate form for each Zero Textbook Cost (ZTC) class even if there is no textbook information.

You are required to purchase/rent all materials before receiving the Alternate Media Format. You may fill out the request form prior to your purchases.

updated Fall 25

Student Name *

Student Email *

Class Name and Ticket Number and Start Date

Instructor Name

Book Title

ISBN

Edition

Please include additional book information such as writing "ZTC" below and/or including a link to the book if available.

By checking yes, I agree to the following terms:

I am enrolled at Saddleback College, and the request is for instructional material; to purchase all instructional material and provide receipts if requested (free material does not need to be purchased); to notify Alternate Media if a class is dropped, cancelled, added, or changed as soon as possible; production of Alternate Media is a collaborative process and delivery times may vary.

Yes

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