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Recommend DVD Recipients

Please take a minute and think of a person you know in education (public, private, church, or other) whose students could benefit from viewing the DVD "Where Does the Evidence Lead". High School Biology teachers would be perfect, but others are welcome as well.

We need some of the below information, (*), and would appreciate the other information.

Yes, send the DVD to the person indicated below.	I am the person below and would appreciate a copy of the DVD for use in my teaching.
Recipient Email address:
Recipient First name:*
Recipient Last name:*
Recip. Physical address:*
Recipient City:*
Recipient State:*
Recipient Zip Code:*
Students are in what school type?*:	Public Private Religious Private Secular No children in school at present Other --->
What subjects and grade levels does this teacher teach?* (Check all that apply)	Biology Chemistry Physics Mathematics Other Subject (specify) Elementary Middle School/Junior High High School Librarian Administrator School Board Trustee
Local Public School District, even if using private schools:*
Phone(s):
YOUR Email* (for confirmations and questions)
YOUR Phone(s) (used if all else fails only)

Free form comments (1000 characters maximum length):

Thank You!

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