Journey North Teacher's Manual Order Form
for Internet Field Team participation

[Journey North registration] [ return to Journey North home page]

Instructions:

By Mail:

The Annenberg Media Math and Science Collection

P.O. Box 2345

South Burlington, Vermont 05407-2345

Please register ____ classrooms for the Journey North
Internet Field Team and send the 1997 Teacher's Manual
to me at the address below.

_____ classrooms @ $39 per class
                  ($29 for previous users of Level 2)= $______

                        Plus 8% shipping  & handling = $______ (U.S.)

                                      Total Enclosed = $______



Name
____________________________________________________


School____________________ Grade _______# Students_______ 

Street
Address __________________________________________

Billing Address
_________________________________________
(if different)

City
_______________ State/Prov._________ Zip/P.C. ______

Phone________________
E-Mail Address ____________________

Method of Payment: Check ____ P.O.
____ Credit Card: ____

Visa ____ Master Card ____ Other
________________________

Card Number ______________________ Expiration
Date_______

Make check payable to:

Annenberg CPB Math/Science Collection

Return:

The Annenberg Media Math and Science Project