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WWMC Materials Request Form
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Requested By
Organization*:
Contact Name*:
Address 1*:
Address 2:
City*:
State/Province:
Postal Code*:
Country*:
Email Address*:
Phone*:
Fax:
   
Deliver To Check if same as above:
Organization*:
Contact Name*:
Address 1*:
Address 2:
City*:
State/Province:
Postal Code*:
Country*:
Phone*:
Fax:
   
Please indicate the quantity of each resource that you are requesting:
Four-color, tri-fold brochure (8.5" x 11", English)
A Waterproof Case storybook for ages 7-10 (English)
-- Un caso pasado por agua (Spanish)
-- Une défense bien étanche (French)
-- Um caso à prova d’água (Portuguese)
-- Un caz impermeabil (Romanian)
Water Down Under (English)
-- El agua en Australia (Spanish)
WWMC instructional/promotional DVD (English)
2011 Year in Review report (English)
WWMC promotional poster (11" x 17", English)
WWMC tabletop display (48" x 24", U.S. partners only)
   
If you have selected the tabletop display, please indicate the date(s) you will need it.