EmailMeForm
Laboratory Equipment Reservation
Use this form to reserve the GLXs, Sensors, and Turning Point Units.
Name
*
First
Last
School Name
*
School District
*
School Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
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Guyana
Paraguay
Peru
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Uruguay
Venezuela
Albania
Andorra
Armenia
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Bulgaria
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Denmark
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Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
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Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
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San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
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Afghanistan
Bahrain
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Myanmar
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China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
*
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Email
*
Reservation Information
Please choose the date (along with an alternate date) you would like to request delivery/pick up of the equipment and the date the equipment will be returned.
RSVP Request 1 Pick Up/Delivery Date
*
MM
/
DD
/
YYYY
RSVP Request 1 Return Date
*
MM
/
DD
/
YYYY
RSVP Request 2 Pick Up/Delivery Date
*
MM
/
DD
/
YYYY
RSVP Request 2 Return Date
*
MM
/
DD
/
YYYY
Equipment/Materials
*
Turning Point Unit 1: 33 cards/2 receivers
Turning Point Unit 2: 25 cards/1 receiver
GLXs (quantity of 6)
Chemistry Multimeasure packet: contains temperature probe, gas sensor, voltage sensor, and pH sensor (quantity of 6)
Geiger-Muller Sensor (quantity of 6)
Conductivity Sensor (quantity of 6)
Light Sensor (quantity of 6)
Respiration Sensor (quantity of 6)
Heart Rate Sensor (quantity of 6)
Spectrometer that will link to the GLX (quantity of 6)
Number of GLXs/Sensors
Please select
1
2
3
4
5
6
RSVP Dates Terms and Conditions
*
By checking this box I understand that the dates requested may not be available and I may need to choose alternate dates.
Transportation Terms and Conditions
*
I agree that I will arrange for pickup and return of the equipment no later than the Return Date. I understand that the SFU Science Outreach Center will contact me in the event that SFU can deliver and/or return the equipment.