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Table of Contents
My Body In Space CD-ROM
Order Form
Invitation to Schools
Click to enlarge
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:
Select one:
Mrs.
Miss
Ms.
Mr.
First name:
Last name:
Title
Your organization is a
Select one:
Public elementary school
Public secondary school
Private elementary school
Private secondary school
School board name:
School name:
Address:
City:
Province or territory:
Select one:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal code:
(ex : J2K1Y2)
Telephone, with area code:
(ex : 450-123-4567)
E-mail address:
Retype to confirm e-mail address:
Grade level:
Select one:
5 to 6
7 to 8
11 to 12
Language of CD-ROM:
Select One:
French
English
I wish to subscribe to the Educator E-mail List to receive bulletins and information on upcoming educational events
Select One:
Yes
No
Please note that these resources are available to be shipped solely to educators located within Canada.