SJC Library
TEXTBOOK DONATION
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LAST NAME, FIRST (please print)
SEM/ESTER / YEAR
DATE
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TITLE / PUBLISHER / EDITION
COURSE / NUMBER
I PLAN TO RE-CLAIM MY TEXTBOOK
Yes
No___
(Unclaimed textbooks will become the property of the Library when no longer current )
PLEASE NOTE: Identifying stickers will be placed on material and may damage covers or
bindings
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Signature
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Phone / E-MAIL