Inspection Copy Response Form

This form should be submitted after you have completed your evaluation of the Agenda Publishing title you received as an inspection copy.

Title:

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I will recommend this book for purchase as:

An essential course textOne of several textsSupplementary reading Invalid Input

I will recommend the department/university library purchases a copy:

Yes Invalid Input

I will ask my local bookseller to order stock

Yes Invalid Input

Comments:

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Course Information

Course/Class Name:

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Course Code:

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Number of Students:

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Start Date:

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Contact Information

Title:

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First Name:

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Surname:

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Department:

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Institution:

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Email Address:

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Telephone Number:

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Mailing Information

Country:

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Street Address:

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City/Town:

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State/Province:

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Zip/Postcode:

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