OTMC Braille Request Detail Sheet
Please use this form in order to provide us with complete information as to the Braille needs of your student. Having this information will better insure that at least part of the requested book will be ready and available for your student. This sheet should accompany any book sent to OTMC for Brailling. Thank you! / Order #: / (From confirmation email.)Student:
Teacher of the Visually Impaired: / Phone #:
Person Submitting Order: / Phone #:
Book Title: / ISBN-10:
Anticipated Date Braille Book Needed: / ISBN-13:
Starting At qChapter qPage qSection ______.
qWe will progress through the book in chapter/page order after our starting point.
qWe will progress in the following qChapter qPage qSection order:
qUncontracted Braille qContracted Braille qCustomized Contracted Braille (Please provide a listing of contractions to use!)
qSingle-Sided Braille qDouble-Sided Braille
Questions? Please contact Bob Disher at 503-540-2940 or via
OTMC Braille Request Detail Sheet
Please use this form in order to provide us with complete information as to the Braille needs of your student. Having this information will better insure that at least part of the requested book will be ready and available for your student. This sheet should accompany any book sent to OTMC for Brailling. Thank you! / Order #: / (From confirmation email.)Student:
Teacher of the Visually Impaired: / Phone #:
Person Submitting Order: / Phone #:
Book Title: / ISBN-10:
Anticipated Date Braille Book Needed: / ISBN-13:
Starting At qChapter qPage qSection ______.
qWe will progress through the book in chapter/page order after our starting point.
qWe will progress in the following qChapter qPage qSection order:
qUncontracted Braille qContracted Braille qCustomized Contracted Braille (Please provide a listing of contractions to use!)
qSingle-Sided Braille qDouble-Sided Braille
Questions? Please contact Bob Disher at 503-540-2940 or via