Examination Copy Order Form
Examination copies are $8, prepaid
Maximum: 4 books per class, 1 copy per title.
This offer is valid for US destinations only.

Requesting professor: ____________________________
Email: ________________________________________
Department: ___________________________________
School: _______________________________________
Phone: _______________________________________

Shipping Address:
__________________________________________
__________________________________________
__________________________________________

Title	ISBN	Quantity

Course Name(s) and Number(s):
______________________________________________
______________________________________________
______________________________________________
Enrollment: ____________________
Next Term: ____________________
Level:  Undergraduate__   Graduate__

Which book(s) are you currently using?
Author: ____________________________________
Title: ______________________________________
Publisher: __________________________________

Method of Payment:
Visa __   Mastercard __   Discover __   American Express __
Account #: ______________________________
Expiration Date: __________________________

Billing address of credit card:
Name: __________________________
Address: _________________________
________________________________
City____________________ State_______ Zip _________

Signature:__________________________________

Promotion Code (if any):_________________________

SUBTOTAL ($8.00 per copy): _________________
Local sales tax (CA only):______________________
TOTAL: ___________________________________

Any questions? Call us at (800) 955-4775
Nolo.com, 950 Parker St., Berkeley, CA 94710 -- (510) 549-1976, FAX (510) 548-5902