Reading Request Form Date* Name* First Last Email* Course Name*Book Title*Chapter and Page Numbers*Please indicate the chapter and page numbers you need. (i.e. Chapter 1, pages 3-15)Proof of Purchase*Please upload your receipt as proof of purchase of this book. Drop files here or Agreement* I understand that I must send proof that I have purchased this book before pages will be sent. I understand that I will be charged a $5 processing fee for this service. I understand that instructors will not delay due dates or re-open assignments due to textbook delays. I understand that these pages will be scanned and sent as a PDF to the email address listed above by the next business day. This iframe contains the logic required to handle AJAX powered Gravity Forms.