Educational Resources Order Form

Please fill out this form, print it, and mail along with your check to:

Mail to:
School Programs
NC Museum of Natural Sciences
11 West Jones Street
Raleigh, NC 27601-1029

All orders must be prepaid. Price includes shipping and handling. Make checks payable to Museum Extension Fund. Please allow 4 to 6 weeks for delivery.

    Name:
 Address:
         
    City:
   State: Zip:
Phone(h): Phone(w):

   Title: Quantity: Price $ Total $
   Title: Quantity: Price $ Total $    
   Title: Quantity: Price $ Total $
   Title: Quantity: Price $ Total $
   Title: Quantity: Price $ Total $
   Title: Quantity: Price $ Total $

                                                                  Subtotal $
                                                       Add 7% NC Sales Tax $
                                            Enclosed is my check for TOTAL $


If purchasing Curiosity Class Video(s), please estimate the number of students
who will view the video(s) in a year. 
Video(s): # of students per year:      
Video(s): # of students per year:

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