Order Form - Department of Chemistry

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DEPARTMENT OF CHEMISTRY
University of Guelph
I am a Teacher instructing Grade 11 _____, 12 _____
I am a Student in Grade 11_____, 12_____
Other: _______________________
Please send me information sheet(s) on your Chemistry Programs:
_____ Chemistry (co-op option available)
_____ Biological and Pharmaceutical Chemistry (co-op option available)
Other information (specify) ____________________________________________
Chemistry Periodic Table wallet card
Size: 88 mm long by 63 mm high
NAME
______________________________________________
Name of High School
______________________________________________
Please specify:
________________________________________________________________________________________
STREET
CITY
School Address? Home Address? __________________________________________________________
PROVINCE
POSTAL CODE
E-mail Address
______________________________________________
Please send me
Send to:
______
Chemistry Periodic Table wallet cards (please limit to one class; maximum 50)
Liaison Officer
Department of Chemistry
University of Guelph
Guelph ON N1G 2W1
Email: cheminfo@uoguelph.ca
Visit our web page at www.chemistry.uoguelph.ca.
Under “Department”, go to the link entitled
“Resources High School Students and Teachers” for
• program information
• admissions & scholarship information
• free resources and materials
Fall 2011
Liaison Officer
Department of Chemistry
University of Guelph
Guelph ON N1G 2W1
Fall 2011
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