| Please
fill in this form to request title(s) under the Gratis Books
Scheme. Recipient details are mandatory,
with an optional section for Recommender details if you are
proposing a Recipient. |
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Suggested
Recipient {mandatory}
Please enter the information as accurately
as possible.... |
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Organisation: |
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| Acronym: |
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| Contact
Details |
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Title: |
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Initials: |
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Last name: |
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Position: |
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| Address
Details |
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Street address:
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City/Town: |
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State/County or Province: |
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Country: |
If your
country is not listed above, please enter it below:
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Zip or postal code: |
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Organisation type: |
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Email: |
please ensure
that your email is accurately stated |
| Website |
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Voice phone: |
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Fax: |
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| Books
Requested |
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Bird
Ecology and Conservation |
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| Description
& Reason(s) for applying |
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| Description
of the Recipients Organisation |
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Why should they receive the book(s)? |
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Recommender
- details {optional}
if different from the Recipient, information
on the person/organisation proposing the Recipient for a copy
.... |
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Organisation: |
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| Acronym: |
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| Contact
Details |
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Title: |
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Initials: |
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Last name: |
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Position: |
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| Address
Details |
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Street address:
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City/Town: |
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State/County or Province: |
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Country: |
If your
country is not listed above, please enter it below:
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Zip or postal code: |
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Organisation type: |
|
|
Email: |
please ensure
that your email is accurately stated |
| Website |
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Voice phone: |
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Fax: |
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