Textbook Request Form
 

List your courses below
Course Number
                        
 
Allen Community College will mail both rental and purchase books for a shipping and handling fee of $8.00 for the first class and $5.00 for each additional class.

Student ID number:
Send my book(s) to: Name:
Address:
City: State: Zip:
E-mail:
 By clicking this box I authorize the Bookstore to deduct from my financial aid and/or credit card, if applicable, any cost associated with textbooks and shipping fees.   This request will not be processed if the checkbox is not checked.
Card Type?
Name as it appears on the card
Billing Address
Billing City, State, ZIP
Card Number (No dashes or spaces)
Card Expiration  / 
Security Code (on back of card)
Contact Telephone number
In case of difficulty
Contact Email Address
In case of difficulty
Contact the bookstore with questions. Donna (620) 365-5116, ext 252 or Ashley (785) 654-2416 X 208
 
ALLOW AT LEAST 5 DAYS FOR PROCESSING EXCEPT DURING PEAK PROCESSING TIME SUCH AS BEFORE A LONG TERM SEMESTER BEGINS; AT WHICH TIME, 7 WORKING DAYS WILL BE NEEDED FOR PROCESSING.