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PLEASE SEE THE COMMENTS BOX FOR AN IMPORTANT MESSAGE.

  • Please use a separate form for each course.
  • List book and/or supplies as required or optional.
  • Complete this form by the specified due dates.
  • Click here to reorder books from previous semesters.
  • NOTE: * Required Fields

  • Semester*:
    Fall: Due Date - April 1 SSI: Due Date - April 1
    Spring: Due Date - October 1 SS II: Due Date - April 1
    Winter Break: Due Date - October 1 Maymester: Due Date - April 1
    Developmental Fast Track: Due Date - April 1  

    1. Instructor*:
    2. Phone*:
    3. Campus*: Canby Granite Falls Jackson Pipestone Worthington Internet
    4. Course Discipline*:
    5. Course Number (1102)*:
    6. Section(s) Number(s) (01,50,81)*:
    7. Estimated Enrollment*:
    8. Continued Course (Most students have the book?)* Yes No
    Book/Supplies (Please Note: P-Paperback, H-Hardcover, R-Required, O-Optional)
    If no text or supplies are required please indicate NONE for Author's Last Name.
    Author's
    Last Name*
    Title Publisher ISBN# Edition P/H R/O
    Comments: