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Audio, E-Text or Large Print Order Form

* Indicates required field

Customer/Student Information


Qualifying Print Impairment

Customer Agreement and Copyright Notice

Print Information

Transcription Type and Format

Human-narrated Audio

E-text

Large Print

Customer Order Information

Reason for Ordering

(Provide reading schedule by mail so we can best match your classroom reading needs.)

Transcription Instructions

Review the document, What is Transcribed? [.docx], for a listing of what is routinely transcribed when customers do not make specific requests. If you want your transcription to be different, describe below (such as specific pages or sections to transcribe or omit, whether to announce page numbers on the recording, what type of reference notes to record, whether to record or omit charts, tables, graphs, etc.).


Not a School or Student? Skip to End


School Information

If you are a school requesting transcription for an eligible student provide the following:

Fill out the information below for School Billing Contact, if different than above.

Signature



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