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Alternate Format Request and Agreement

Before you proceed, please check to see if your textbooks are available in electronic format (e-book) from the University of Regina bookstore, online vendors (ie. Amazon), or for purchase and direct download from the publisher's website. If the e-book is available, buying this may be your quickest and easiest option. Requesting the alternate format book through the publisher can take up to several weeks, so we strongly suggest that requests are made only if the book is not available for purchase in an electronic format. If you are unsure of how to search for your book online, please contact our office and we will be more than happy to book an appointment to go through the steps with you.


* Student Name:

* Student Number:

* Phone Number:

* E-mail Address:

* Preferred Contact Method: Email Phone

Please read the following statement:

I agree not to make copies and/or further distribute the electronic text received through the Centre for Student Accessibility. I understand that copying and/or distributing the file violates both university policy and the university's agreement with publishing groups. I further understand that copying and/or distributing this electronic text may jeopardize my future access to Alternate Format material through the Centre for Student Accessibility at the University of Regina. Electronic text materials must be deleted once I am no longer in possession of the print text materials.

* I have read and agree with the above statement

* Course:
* Professor:
* Book Title:
* Author:
* Publisher:
* ISBN:
* Edition:

Add Textbook

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Add Textbook
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Add Textbook
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Add Textbook
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Add Textbook
* Course:
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Add Textbook
* Course:
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* ISBN:
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Add Textbook
* Course:
* Professor:
* Title:
* Author:
* Publisher:
* ISBN:
* Edition:
Add Textbook
* Course:
* Professor:
* Title:
* Author:
* Publisher:
* ISBN:
* Edition:
Add Textbook
* Course:
* Professor:
* Title:
* Author:
* Publisher:
* ISBN:
* Edition:


The University of Regina collects information under the authority of The University of Regina Act and in accordance with the Local Authority Freedom of Information and Protection of Privacy Act and the Personal Information Protection and Electronic Documents Act for purposes of the administration of the University and its programs and services. By submitting this form, you are consenting to the University of Regina using your personal information to respond to your request and to use as verification of your agreement for use of materials.