Washington GT Magnet Elementary School

Media Center-Requests

Teachers and TA's are invited to use this form
to request Media Center Materials

If you would like to request materials, simply fill out this form and press send.
Please allow us at least one whole day to receive the form, pull the materials
and deliver them to you.

What is your name?

Your e-mail address?

Please check all the types of materials you would like.

books	videos	magazines
encyclopedia	teaching kits	ANYTHING!

Give us an idea of how many items you might need:

By what date do you need these items?

Please fill in as many as apply below:

Materials with the TITLE of
Materials ABOUT (subject)
Materials BY (author)

Please use the space below to add any comments, clarifications, or questions.

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