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Desk Copy Request Form


You can mail, email, or fax this form.

Mail to:

    Dalkey Archive Press
    University of Illinois
    1805 S. Wright Street
    MC-011
    Champaign, IL 61820

Email: riker@dalkeyarchive.com

Fax: (217) 244-9142

Your book:

Author_________________________________________________
Title __________________________________________________
has been adopted for my course # ______ , which has the course title of: ______________________________________________

as a (please indicate one) __ Required textbook,  __ Recommended or Optional textbook

This course is scheduled to begin on (calendar date or year and term)______. I have advised the local bookstore(s) that the estimated enrollment will be ______.
Please list stores notified ________________________________
_____________________________________________________
_____________________________________________________
Name__________________________________________
Position________________________________________
School__________________________________________
Department______________________________________
School phone #___________________________________
Address_________________________________________
City, State, Zip___________________________________
e-mail____________________________________________
In case the title you are requesting is in the process of being reprinted, please provide your e-mail address and phone number so we are able to notify you about its availability in a timely manner.
e-mail ___________________________________________
Phone #_________________________________________
Is there a modern/contemporary novel or collection of short fiction you are interested in seeing back in print for use in a class that you currently teach? If so, which title(s)? _________________________________________________
_________________________________________________

_________________________________________________

What class would you use it in?_____________________________


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