BOSTON COLLEGE BOOKSTORE

Coursepack APS Request Form

You may submit this form electronically by selecting Submit at the bottom of this page or, you may Print this form and send it to:
Laura LeBlanc
Boston College Bookstore
McElroy Commons
Chestnut Hill, MA 02467

Please enter the following information:
Date of Request :      
Course Name:   Contact: Laura LeBlanc
Course #: eg. HS 300   Phone: 617-552-0493
Instructor:   Fax: 617-552-2807
No. of Sets :      
Your Email :      
Your Phone Number:      

Article 1:

ISBN/ISSN: Auth/Ed/Trans of Book:

Publisher/Rightsholder:

Book/Journal Title:

Chapter/Article Name:

Author of Article: Total # of Pgs: From: To:

Copyright Year : Pubn Yr (If Differs): Volume: Edition:

Article 2:

ISBN/ISSN: Auth/Ed/Trans of Book:

Publisher/Rightsholder:

Book/Journal Title:

Chapter/Article Name:

Author of Article: Total # of Pgs: From: To:

Copyright Year : Pubn Yr (If Differs): Volume: Edition:

Article 3:

ISBN/ISSN: Auth/Ed/Trans of Book:

Publisher/Rightsholder:

Book/Journal Title:

Chapter/Article Name:

Author of Article: Total # of Pgs: From: To:

Copyright Year : Pubn Yr (If Differs): Volume: Edition:

Article 4:

ISBN/ISSN: Auth/Ed/Trans of Book:

Publisher/Rightsholder:

Book/Journal Title:

Chapter/Article Name:

Author of Article: Total # of Pgs: From: To:

Copyright Year : Pubn Yr (If Differs): Volume: Edition:

Please note: If you have more than 4 requests, you will need to submit another of these forms.

Questions or comments about coursepacks:

Thank you
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