School:

Department:

Address 1:

Address 2:

City: State: select AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip:

Office Phone: Extension:

Office Hours:

What text book are you using now?

Does your department write its own workbooks? ----yes ---no

Is there someone else at your college who should receive information about this book?