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This product will NOT ship with a binder but will come shrink wrapped. The title is \u003cB\u003eprint on demand\u003c/B\u003e which means that they are printed as they are ordered so please allow 7-10 days for shipping on this product. The low cost Print On Demand book can \u003cB\u003eONLY BE PURCHASED\u003c/B\u003e online when you are ALSO purchasing a CoursePoint, CoursePoint(+), or CoursePoint for Concepts online product in your online shopping cart. This title can NOT be purchased by itself. \u003cB\u003eThis product is NON-RETURNABLE\u003c/B\u003e .\u003cBR /\u003eHighly readable and rich with engaging case studies and learning tools, Brunner \u0026amp; Suddarth\u0026rsquo;s Textbook of Medical-Surgical Nursing, 14th Edition delivers the complete nursing foundation students need in a format designed for the way they like to learn. 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