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Distance education textbook order form

         
*Note: Course readers are not included in the materials provided by distance education
         
  Course Code Book Title  
eg. DE  
       
1. DE  
2. DE  
3. DE  
4. DE  
5. DE  
6. DE  
7. DE  
8. DE  
9. DE  
10. DE  
         
  Used Book (if available)  
         
  All orders must be prepaid prior to shipment.

You may phone (519) 821-2050 or toll-free 1-800-869-2773 or fax your order to (519) 824-1372 if you do not want to submit the information electronically.

(If you do not have a credit card, phone us to make an alternate payment arrangement.)
         
Paid by:   Mastercard: Visa:
Card Number:   *
Cardholder's Name:   *
Expiration Date:   / *
         
  Orders will be shipped by courier to the address below:
A minimum shipping fee of $4.50 will apply

*All packages require a signature upon delivery
OR
*You can request a NO SIGNATURE REQUIRED delivery (check box below).

As there may not be someone available to receive & sign for this package, I accept all responsibility for any loss or damage to this shipment.
The Co-op Bookstore is not liable for the loss or damage of NSR shipments.
         
  Please provide detailed address information to facilitate delivery
`        
Name:   *
Shipping Address:   *
Address 2:  
City:   *
Province:   *
Country:   *
Postal Code:   *
Daytime Phone:   ( ) - *
Email:  
         
Student's Name:  
Guelph Campus Co-op 2016-2017 Membership #  
(You do not require a membership to make a purchase)
     
  Note: Students residing outside of Canada are responsible for all custom duties, fees and taxes

The Bookstore will contact you to verify information.
         
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