Tiny Earth Chemistry Hub Isolates Submission Form

您的浏览器中未启用 JavaScript，因此无法打开此文件。请启用 JavaScript，然后重新加载。

Directions for packaging found here (https://tinyearth.wisc.edu/wp-content/uploads/2023/02/TinyEarthMakingSlants.pdf)

TEPI Name *

Contact email address *

Contact phone number with area code *

Institution *

Ship from address (Name, Street, City, State, Zip) *

Size of shipping container (LxWxH) in inches *

Weight of shipping container (lbs) *

Estimated ship date *

年

月

日

Institution FedEx Billing Number

Do you need slants? Information on how to make them in your classroom can be found under TEPI resources on TE website (https://tinyearth.wisc.edu/chem-hub/) *

Yes, I need slants sent to me ahead of time

No, I will make my own slants

If you need TECH to send you slants, please list the number for each type of media you request.

Option 1

清除所选内容

If you answered yes to needing slants, please list the media and number of slants for each media type below.

清除表单内容

切勿通过 Google 表单提交密码。

此表单是在 UW-Madison Google Workspace 内部创建的。举报滥用行为

表单