Palo Alto Unified School District—Science On-Line Guide for Teachers

Populations & Ecosystems Unit SRC Order Form

When you place your order, you will receive a prepaid coupon that you can send in to the supplier when you are ready to start the unit. (One of each coupon per classroom.) These coupons are prepaid and valuable. After filling out each coupon, please copy the front and back before mailing in case there are delivery problems. Last day to order coupon is March 25, 2012.

Please order your live materials at least 3 weeks (excluding vacations) before you need them. Deliveries are made Monday or Wednesday between 9:00 AM and 12:00 noon.

No deliveries January 3rd-6th.
Last day to order animals is March 30, 2012.
Last day for animal pick-up is May 25, 2012.
(After May 25, teachers must deliver animals to the SRC themselves.)

Mary Childress
Science Resource Center
Email: mchildress@pausd.org
Phone: 565-8437


Name:
Your School
Email:

Aquarium Habitat(s): 4 fish
Quantity:
You must enter a specific date (Monday or Wednesday) for delivery. “Deliver anytime” or “As soon as possible” are not acceptable dates for delivery. When dealing with live materials, preparation on the part of the teacher is vital. Plant substitutions may occur due to availability.
Delivery Date:

Terrarium Habitat(s): Prepaid coupon for a class set of land snails, isopods, earthworms (order before March 25th)
Quantity:

Aquarium Live Materials: Prepaid coupon for class set of 30 pond snails and 30 Elodea(order before March 25th)
Quantity:

Milkweed bugs: Prepaid coupon for Milkweed bugs (order before March 12th)
Quantity:

Cheeseball Asteroids: Cheetos cheeseball asteroids and matches (no last date to order)
Quantity:

Seeds: Classroom set of alfalfa, rye, wheat
Sets Needed:

Sunflower seeds: Shelled sunflower seeds (7 oz.)
Number Needed:

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