Berk DVD Submission Form

Thank you for your interest in the DVDs that accompany Dr. Laura E. Berk’s best-selling developmental psychology titles. Simply fill out the form below to request a DVD. Once your adoption has been confirmed, you will receive the DVD(s) within 7-10 business days. Please note, if the course information is incomplete, you will not receive the DVD requested.

First Name *

Last Name *

Email Address *

Institution *

Department *

Department Chair Name

If there is no department chair, just say N/A

DVDs Requested

Infants, Children and Adolescents, Ninth Edition

Infants and Children: Prenatal Through Middle Childhood, Ninth Edition

Development Through the Lifespan, Seventh Edition

Exploring Lifespan Development, Fourth Edition

You can select up to 4 DVDs. Please only request DVDs needed for a course.

Are you requesting multiple DVDs? *

Yes

No

If yes, you will need to provide the course information for each DVD needed.

Course Name

Please include both the course title and number.

Enrollment per course, per term

Course Start Date

Month

Day

Year

Course Name For DVD 1

Please include both the course title and number.

Enrollment per course, per term for DVD 1

Course Start Date For DVD 1

Month

Day

Year

Course Name For DVD 2

Please include both the course title and number.

Enrollment per course, per term for DVD 2

Course Start Date For DVD 2

Month

Day

Year

Course Name For DVD 3

Please include both the course title and number.

Enrollment per course, per term for DVD 3

Course Start Date For DVD 3

Month

Day

Year

Course Name For DVD 4

Please include both the course title and number.

Enrollment per course, per term for DVD 4

Course Start Date For DVD 4

Month

Day

Year

Can you confirm you plan to require the text(s) as required material in the course(s) above? *

Yes

No

Mailing address for where you'd like the DVD to be sent *

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Berk DVD Submission Form