STEM Kit Reservations

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This form is for requesting reservations for the STEM Kits provided by MiSTEM Network Region 9.

Email *

First & Last Name *

School District *

School Building *

School Address *

I would like to reserve the following kit(s) *

Electrical Kit

Weather Kit

Chemistry Kit

Sink or Float Kit

Fossils Kit

Magnets Kit

Spaghetti Tower Kit

Power-Up Paper Airplanes

Spaghetti Towers

3D Printer

Keva Planks

Math Games

LEGO Spike Essential Kits

LEGO Spike Prime Kits

Career Challenge Cards

Required

I need the kit(s) starting on the following date: *

YYYY

I am finished with the kit(s) on the following date: *

YYYY

I understand that even though I am requesting a kit, it may not be available for the dates I am requesting. If requesting delivery, please make request at least 3 weeks before the kit is needed to plan for delivery.

If picking up kits, pick up is at West Shore ESD, 2130 US-10, Ludington, MI 49431. Enter through the middle doors at the back of the building. First door on your left. Office hours for pick up are between 8:00am-4:00pm M-F.

I understand and agree to these parameters.

Required

A copy of your responses will be emailed to the address you provided.

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