Alternative Text Request Form

There is a license error on this site:

10.0.50.132 is not a valid ip-address

The Web site remains functional, but this message will be displayed until the license error has been corrected.

To correct this error:

Ensure that you have a valid license file for the site configuration.
Store the license file in the application directory.

If you do not have a license file, please request one from EPiServer License Center.

If you are registered with the office of Academic Success and Accessibility and have been unable to locate your textbook in your accommodated format, we can help.

Please fill out a separate form for each text.

Student Name *

Student ID Number *

Cell Phone *

Email Address *

Course Number *

Course Title *

Instructor Name *

Complete Book Title *

Author's Name *

Publisher *

Year Published/Edition *

ISBN Number *

* Required Field