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My Body In Space CD-ROM

Order Form

Invitation to Schools

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Important Notes

The CD-ROM is offered to Canadian public or private schools. All personal information entered in this form is protected under the Privacy Act. One CD for each request.
An answer is required for each field.

» This educational resource is also available online.

Form

Your preferred form of address:

First name:

Last name:

Title

Your organization is a

School board name:

School name:

Address:

City:

Province or territory:

Postal code: (ex : J2K1Y2)

Telephone, with area code: (ex : 450-123-4567)

E-mail address:

Retype to confirm e-mail address:

Grade level:

Language of CD-ROM:

I wish to subscribe to the Educator E-mail List to receive bulletins and information on upcoming educational events

Please note that these resources are available to be shipped solely to educators located within Canada.