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Recipient Email Address: |
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Store Name: |
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Street Address: |
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City, State, ZIP: |
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CPH Account Number
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Telephone: |
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| Please specify the images needed by item number and/or ISBN. |
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| What format is preferred for these images? |
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| Will these images be used for print use or for Web use? |
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| If more than 5 high-resolution images have been requested, how should these images be delivered? |
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| If appropriate, please enter access information for the alternate FTP site or alternate mailing address below: |
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| If you are not the recipient and would like verification when this request has been filled, please give your contact information below: |
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