Course Access / Media Request Form

Use this form only if you are not registered for the distance course for which you are requesting access. If you are registered for a distance course and need access, see Course Access. Refer to the rate chart for the fees associated with course access requests.

Please note that credit card or eCheck payment information will be requested once you click the submit button below. If you do not wish to pay by credit card or eCheck, you can still submit your request, but don’t complete the payment information section. Instead, call 303-492-5020 to provide your payment information. Payment must be processed before access is granted.

All data on this form is subject to verification before requests are fulfilled. If you are ordering CD's / DVD's, please allow at least 1 business day for your request to be processed after payment is received. Call 303-492-6331 (option 1) if you have any questions.

Your Information

Status: *

Current CU Student

CU Alumni

Corporate Organization

First Name: *

Last Name: *

Phone (of primary contact): *

Email: *

 

Coupon Code:

Student Information

These student information fields are only required if you are a current CU student.

Student ID:

Last four digits only

IdentiKey Username:

Course Information

Year: select...200420052006200720082009

Semester: select...SpringSummerFall

Course: * Please use fields below.  

Course Number:

Course Title:

Access You Are Requesting:

Full Course

Specific Lecture

Specific Lecture Date:

If purchasing a specific lecture, enter the date here. FORMAT: MM/DD

Delivery Method:

Internet

PC-DVD

CD-ROM

Shipping Information

Shipping address is only required if you are requesting CDs/DVDs to be shipped to you. A shipping and handling fee will be charged. There are no shipping charges for corporations/organizations. We do not ship outside the continental United States.

Preference:

Pick up at the CAETE Office

UPS Ground

FedEx 2-day

FedEx Overnight

Address:

City:

State: select...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Copyright Agreement

All material is granted to the user under a limited license for sole use of the recipient. All material is copyrighted by the University of Colorado, and any reproduction, broadcast, or resale is strictly prohibited.

I agree: *