Textbook Return Form

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Textbook Return Form
RIT-CSTEP
Rochester Institute of Technology
Collegiate Science & Technology Entry Program
Liberal Arts Hall (Bldg. #6) Room A-210
Rochester, NY 14623 www.rit.edu/cstep
Office: (585) 475-4982 Fax: (585) 475-7120
____ Textbook fund
Course Name: ______________________________
Textbook Title: _____________________________
Course Instructor: ___________________________
Cost: _____________________________________
Course Name: ______________________________
Textbook Title: _____________________________
Course Instructor: ___________________________
Cost: _____________________________________
I, _________________________________________, agree to return the above textbook to CSTEP upon the end of the present quarter
to be used in the CSTEP library.
Signature _________________________________________
Date ______________________________
For CSTEP Office Use Only:
Reviewed by: ________________________________
Total Amount Funded: ________________________
Date: ____________________
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