Foundation for Blind Children

Alternative Format Services

                                                                    Request Form
Media Center/Arizona Instructional Resource Center
1235 E. Harmont Drive, Phoenix, AZ 85020
Phone:602.678.5810 or 5816 Fax:602.678.5811 
www.SeeItOurway.org
 
Please fill out one Alternative Format Services Request form per book per student. For Braille/large print/e-file requests, we require a hard copy of the print textbook/book. Please Note: Books must be scanned for production, so it will be cut. 
 
BEFORE YOU START THE FORM PLEASE READ..........
 
Please fill out the Certification of Eligibility/Copyright Use Consent form at (click on link for form) http://webzoom.freewebs.com/fbcatservices/Eligibility%20&%20Copyright%20Use.pdf which must be signed and can be fax in.
 
If requesting a textbook with a copyright year of 2006 or newer, a NIMAS request form must also be fill out and signed at http://webzoom.freewebs.com/fbcatservices/NIMAS%20-%20%20Request%20Form.doc for each textbook and this can be fax in also.
 


Renewal of a Book
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Textbook/Rec Book Infomation

Braille Production Preferences

Large Print Production Preferences

E-File/E-books Production Preferences

Delivery Preference

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