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The Center on Disability and Community Inclusion (CDCI)

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Need Help Getting a Textbook for a Child With a Print Disability?

If you have searched Bookshare, RFB&D and the NIMAC, and you do not see the textbook or core instructional materials that you need for your student you may request we ask for the files to be submitted by the publisher to the NIMAC. Please fill out the Publisher Request Form and return to us and we will initiate the request for you.

You may make a request by filling out the form below.

Do you have other questions, or need a different type of help? Click here for our AIM HelpLine Form!

Thanks,
Marie MacLeod and Michael Ferguson

Textbook Request Form
Fields marked with an asterisk (*) are required!

* Student Name:
* School ID #:
* Date (MM/DD/YYYY):
* School Year (YYYY, ex. 2010):
* School:
* Address:
* City:
* State:
* Zip:

* Please request that the files for the following textbooks and/or core instructional materials be deposited to the NIMAC and assigned to Bookshare and RFBD.

* I realize that it is my responsibility to continue to monitor Bookshare or RFBD for the textbook titles to see when the NIMAS files are available for download.

The following section allows you to request up to 4 books. Please fill out all of the information requested.


I would need these books in the following format(s):
* E-Text/E-book Audiobook (MP3) Daisy Book Format

Book 1 Request
Title:
ISBN #:
Author:
Publisher:
Copyright Date:

Book 2 Request
Title:
ISBN #:
Author:
Publisher:
Copyright Date:

Book 3 Request
Title:
ISBN #:
Author:
Publisher:
Copyright Date:

Book 4 Request
Title:
ISBN #:
Author:
Publisher:
Copyright Date:

Contact Details
* Contact Person:
* Contact Phone Number:
* Contact Email Address:

Remember fields marked with an asterisk (*) are required!

Last modified October 06 2009 04:17 PM

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