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Alternate Media Request Form

Alternate Media Request Form

* designates required

General Information
Contact Preference The best way to contact me is:
Textbook Information
Please complete the following for each requested textbook/class material for which you will need alternative media.
Class Name and Number ISBN # Book Title Edition
Additional Textbook Information
File Format Preference (REQUIRED)

Please choose a specific format, you may choose only two:

Butte College | 3536 Butte Campus Drive, Oroville CA 95965 | General Information 530.895.2511

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