Tadpole Kit Booking Form

SORRY! THE TADPOLE KITS PROGRAM HAS BEEN FULLY BOOKED FOR THE 2018 ROUND. YOU CAN STILL FILL IN THE FORM BELOW IF YOU WANT TO BE ON THE WAITING LIST FOR 2018 AND ON THE MAILING LIST FOR THE 2019 ROUND.
YOU ARE ENCOURAGED TO CONTACT ICON WATER AND EXPRESS YOUR STRONG INTEREST IN THE PROGRAM- WHICH MIGHT HELP TO GET MORE KITS FUNDED.


Please fill in the booking form here to order your tadpole kits.
Once you have submitted the form we will send an invoice to you - please forward this to the appropriate administrative staff for payment! We will reserve the number of requested kits for you once we the payment ($50 deposit per kit) has been received.

Name of your school or organisation *
Your answer
Which state are you from? *
Your name *
Your answer
Your phone number *
Your answer
Your email address *
Your answer
Email address of teacher who will deliver the program *
Your answer
The students who will partake in the program are best classed as:
Number of tadpole kits you would like to order: *
I would like to pick up my kit(s) at the following location: *
You will get an email in early October to remind you about pick up times, ONLY if your payment has been received. Record your selected date and time in your diary now.
To collect your kits, you need to have paid.
My / my school's banking details, for refund of our deposit
Without these details we will not be able to refund your deposit at the end of the program. Due to staffing restrictions we are no longer able to do any follow ups- so please ensure you get them to us!!
BSB number
Your answer
Account number
Your answer
Submit
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