STEM Modules Request Form
Please select which modules you would like to request.

There is no cost for the displays.

Backdrop walls are NOT included.
Email address *
STEM in Sports Activities
Golf Display
STEM in Sports Activities
Baseball Display
STEM in Sports Activities
Racing Display
STEM in Sports Activities
Tennis Display
STEM in Sports Activities
STEM Letters Display
Delivery Address (include description of specific entrance)
Your answer
Date for Delivery
MM
/
DD
/
YYYY
Time
:
Date for Pick Up
MM
/
DD
/
YYYY
Time
:
Contact Name
Your answer
Contact Phone Number
Your answer
Contact Email
Your answer
Additional comments:
Your answer
For further questions, please contact Lori Flippin at:
Work Phone: (989) 695-6100
Cell Phone: (989) 280-2829
Email: lflippin@greatlakesbay.org
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