Vernier, TI and STEM Equipment Request Form
Use this form to request TI and Vernier equipment.
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Contact Name *
School/District *
Contact Email Address *
Please provide an email you regularly check.
Contact Phone *
Please provide a number you can be reached at during the day.
When do you need the equipment? *
Please deliver the equipment by this date:
Data Collection Devices (interfaces)
What will you use to gather your data?  If you need more information on a device,  please check out http://www.vernier.com/products/interfaces/
What Sensors/Probes would you like?
Check all that apply.  A class set includes 8 probes/sensors unless otherwise noted in parenthesis.  If unsure about a probe or sensor, please check out http://www.vernier.com/products/sensors/ for more information
Vernier Books
What other STEM equipment do you want?
I have a signed user agreement on file with the Math & Science Center. *
Required
Are you checking this out through the PBL academy *
Required
Other Comments / Requests
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