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Library Details

Title:

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First Name:

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Last Name:

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Email:

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Phone:

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Library Type:

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Name of Institution:

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Address:

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State/Province:

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Postcode/Zipcode:

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Country:

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Country of residence defines your territory with reference to eBook copyright.

Identify your Order

Purchase Order/Ref #:

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Please enter a purchase order # or reference that will be displayed on your order invoice (for easily identification for your accounts department).

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Preferred Domain:

e.g [schoolname/abbreviatedname].eplatform.co

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Library Management System:

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Would you like to add any specific instructions?:

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Terms and Conditions:

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(this form is for librarians - not for library patrons and students)

Library Details

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