Nordics Sample Request Form

Sample Request Form
Sample Details
ISBN*
Author*
Title*
Personal Details
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Contact Details
School/University*
Department/Faculty*
Shipping Address*

Street Address

Street Address Line 2

CityState

Zip Code
Country*
Course Details
Course Code*
Course Name*
Start Date*

MonthDayYear
Year*
Number of Students*
Book in use*
The book will be:

MandatoryRecommended
Decision

IndividualCommittee
Date

MonthDayYear
Comments
Consent*

I agree with the terms & conditions.
Terms & Conditions

Please be informed that the following terms and conditions apply:
- the requested study material is relevant to the course you provide;
- the course is followed by at least 20 students.
Product Updates

In addition, you will receive updates on relevant product information or you may be approached for market research for development of new products.

Would you like to opt out from receiving any updates? Please email us at nordics@pearson.com.

To ensure your privacy, we will:
- store your details in a secured internal database;
- NOT provide your details to third parties.
Read our full Privacy Notice.
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