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Frey Scientific

Learn & Teach Professional Development
Series Online Registration

(Register online or print this form and fax it to 1-877-256-FREY, Attn: Learn & Teach)

Thank you for your interest in the Learn & Teach Professional Development Series, it is important that you fill out all of the information below so we can assure a successful online learning experience. If you are having any difficulty, please call 1-877-390-3081 and a Frey Scientific Representative will assist you.

*Indicates required field.

STEP 1

Check off the Learn & Teach Series for which you are registering.

25527512 - Electricity and Magnetism $4,020.00
25527513 - Forces and Motion $5,035.00
25527516 - Transfer of Energy $4,640.00
25527509 - Aquatic Ecology $4,220.00
25527514 - Ocean Science $5,750.00
25527517 - Water Quality $4,715.00
25527520 - Rainforests - Endangered Ecosystems $4,305.00
25527536 - Assessment of Student Science Literacy $3,695.00
25527518 - Teaching Science Safely $4,990.00
25527510 - Earth in the Solar System $4,265.00
25527511 - Earth's History $4,925.00
25527515 - Structure of the Earth $5,285.00
25527519 - Practical Meteorology(available Jan 04) $4,705.00


STEP 2

Please provide the contact information for the Program Administrator as well as critical registration information.

Name:*
Title:*
School:*
Address:*
City:*
State:*
Zip:*
Home Phone:
School Phone:*
Fax:
Confirmation E-mail:*
PO Number:*
Dates requested for course (in order of preference)
1st Date:* (mm/dd/yyyy)
2nd Date:* (mm/dd/yyyy)
3rd Date:* (mm/dd/yyyy)

You can either attach this form with your PO, or submit this registration electronically and we will match it to your PO when it arrives.
Please send your Purchase Order to:
Frey Scientific
Attn: Learn & Teach
100 Paragon Pkwy
Mansfield, OH 44903


STEP 3

Please enter each participant's information separately as well as their needs for course credits and Lab Packs. (Any fields that are the same as the Program Administrator may be left blank.)

Registrant 1

Name:
Title:
School:
Address:
City:
State:
Zip:
Home Phone:
School Phone:
Fax:
E-mail:
What Grade Do You Teach?
What Subject Do You Teach?

25527539 JASON Lab Pack $285
All courses include two optional activities using the Lab Pack (which includes data logger, 4 probes (light, temperature, voltage, and pH), graphing software and activities book). Recommended for all participants who wish to conduct the probe activities.
25527540 Sonar Ranger (motion detector) $80.00
25562912 Hand-held generator (Genecon) $44.95


Registrant 2

Name:
Title:
School:
Address:
City:
State:
Zip:
Home Phone:
School Phone:
Fax:
E-mail:
What Grade Do You Teach?
What Subject Do You Teach?

25527539 JASON Lab Pack $285
All courses include two optional activities using the Lab Pack (which includes data logger, 4 probes (light, temperature, voltage, and pH), graphing software and activities book). Recommended for all participants who wish to conduct the probe activities.
25527540 Sonar Ranger (motion detector) $80.00
25562912 Hand-held generator (Genecon) $44.95


Registrant 3

Name:
Title:
School:
Address:
City:
State:
Zip:
Home Phone:
School Phone:
Fax:
E-mail:
What Grade Do You Teach?
What Subject Do You Teach?

25527539 JASON Lab Pack $285
All courses include two optional activities using the Lab Pack (which includes data logger, 4 probes (light, temperature, voltage, and pH), graphing software and activities book). Recommended for all participants who wish to conduct the probe activities.
25527540 Sonar Ranger (motion detector) $80.00
25562912 Hand-held generator (Genecon) $44.95


Registrant 4

Name:
Title:
School:
Address:
City:
State:
Zip:
Home Phone:
School Phone:
Fax:
E-mail:
What Grade Do You Teach?
What Subject Do You Teach?

25527539 JASON Lab Pack $285
All courses include two optional activities using the Lab Pack (which includes data logger, 4 probes (light, temperature, voltage, and pH), graphing software and activities book). Recommended for all participants who wish to conduct the probe activities.
25527540 Sonar Ranger (motion detector) $80.00
25562912 Hand-held generator (Genecon) $44.95


Registrant 5

Name:
Title:
School:
Address:
City:
State:
Zip:
Home Phone:
School Phone:
Fax:
E-mail:
What Grade Do You Teach?
What Subject Do You Teach?

25527539 JASON Lab Pack $285
All courses include two optional activities using the Lab Pack (which includes data logger, 4 probes (light, temperature, voltage, and pH), graphing software and activities book). Recommended for all participants who wish to conduct the probe activities.
25527540 Sonar Ranger (motion detector) $80.00
25562912 Hand-held generator (Genecon) $44.95


Registrant 6

Name:
Title:
School:
Address:
City:
State:
Zip:
Home Phone:
School Phone:
Fax:
E-mail:
What Grade Do You Teach?
What Subject Do You Teach?

25527539 JASON Lab Pack $285
All courses include two optional activities using the Lab Pack (which includes data logger, 4 probes (light, temperature, voltage, and pH), graphing software and activities book). Recommended for all participants who wish to conduct the probe activities.
25527540 Sonar Ranger (motion detector) $80.00
25562912 Hand-held generator (Genecon) $44.95


Registrant 7

Name:
Title:
School:
Address:
City:
State:
Zip:
Home Phone:
School Phone:
Fax:
E-mail:
What Grade Do You Teach?
What Subject Do You Teach?

25527539 JASON Lab Pack $285
All courses include two optional activities using the Lab Pack (which includes data logger, 4 probes (light, temperature, voltage, and pH), graphing software and activities book). Recommended for all participants who wish to conduct the probe activities.
25527540 Sonar Ranger (motion detector) $80.00
25562912 Hand-held generator (Genecon) $44.95


Registrant 8

Name:
Title:
School:
Address:
City:
State:
Zip:
Home Phone:
School Phone:
Fax:
E-mail:
What Grade Do You Teach?
What Subject Do You Teach?

25527539 JASON Lab Pack $285
All courses include two optional activities using the Lab Pack (which includes data logger, 4 probes (light, temperature, voltage, and pH), graphing software and activities book). Recommended for all participants who wish to conduct the probe activities.
25527540 Sonar Ranger (motion detector) $80.00
25562912 Hand-held generator (Genecon) $44.95


Registrant 9

Name:
Title:
School:
Address:
City:
State:
Zip:
Home Phone:
School Phone:
Fax:
E-mail:
What Grade Do You Teach?
What Subject Do You Teach?

25527539 JASON Lab Pack $285
All courses include two optional activities using the Lab Pack (which includes data logger, 4 probes (light, temperature, voltage, and pH), graphing software and activities book). Recommended for all participants who wish to conduct the probe activities.
25527540 Sonar Ranger (motion detector) $80.00
25562912 Hand-held generator (Genecon) $44.95


Registrant 10

Name:
Title:
School:
Address:
City:
State:
Zip:
Home Phone:
School Phone:
Fax:
E-mail:
What Grade Do You Teach?
What Subject Do You Teach?

25527539 JASON Lab Pack $285
All courses include two optional activities using the Lab Pack (which includes data logger, 4 probes (light, temperature, voltage, and pH), graphing software and activities book). Recommended for all participants who wish to conduct the probe activities.
25527540 Sonar Ranger (motion detector) $80.00
25562912 Hand-held generator (Genecon) $44.95


Registrant 11

Name:
Title:
School:
Address:
City:
State:
Zip:
Home Phone:
School Phone:
Fax:
E-mail:
What Grade Do You Teach?
What Subject Do You Teach?

25527539 JASON Lab Pack $285
All courses include two optional activities using the Lab Pack (which includes data logger, 4 probes (light, temperature, voltage, and pH), graphing software and activities book). Recommended for all participants who wish to conduct the probe activities.
25527540 Sonar Ranger (motion detector) $80.00
25562912 Hand-held generator (Genecon) $44.95


Registrant 12

Name:
Title:
School:
Address:
City:
State:
Zip:
Home Phone:
School Phone:
Fax:
E-mail:
What Grade Do You Teach?
What Subject Do You Teach?

25527539 JASON Lab Pack $285
All courses include two optional activities using the Lab Pack (which includes data logger, 4 probes (light, temperature, voltage, and pH), graphing software and activities book). Recommended for all participants who wish to conduct the probe activities.
25527540 Sonar Ranger (motion detector) $80.00
25562912 Hand-held generator (Genecon) $44.95


Thank you for registering for your Learn and Teach Professional Development Series. You will be contact by a Frey Scientific representative to confirm dates for course. If you need immediate assistance, please call 1-877-390-3081.