#1.  Enter your first name*    
              
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             #2.  Enter your last name*    
              
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             #3.  Enter your e-mail address*    
              
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             #4.  Enter the title of the book, including edition number*    
             
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             #5.  Enter the name(s) of the author(s) of the book*    
             
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             #6.  Enter the name of the publisher of the book*    
             
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             #7.  Enter the date of publication of the book*    
             
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             #8.  Enter the ISBN of the book (10 or 13 characters, no dashes or spaces)*    
             
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             #9.  If you accessed the book on-line, enter the URL: 
  
             
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