Tiny Earth Chemistry Hub Isolates Submission Form
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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 *
MM
/
DD
/
YYYY
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/) *
If you need TECH to send you slants, please list the number for each type of media you request.
Clear selection
If you answered yes to needing slants, please list the media and number of slants for each media type below.
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