TEXTBOOK REQUISITION FORM

Fill out prior to each semester. Questions please call 328-0210.

Instructor Information

Please answer all information so that we may contact you if we have questions.

Please list your academic department.

Summer 1 due April 1
Summer 2 due April 1
Fall due April 1
Spring due October 15

Course Information

Please enter all courses being taught. Simply enter NO TEXT for those courses not requiring books. IF YOU ARE TEACHING MORE THAN FOUR COURSES, YOU MAY COMPLETE THIS FORM AND BEGIN A NEW ONE TO ADD MORE COURSES.

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 The University of Virginia´s College at Wise
One College Avenue • Wise, VA 24293
Phone: (276) 328-0210
E-mail: bookstore@uvawise.edu