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Mining Utah's Heritage Workbook Order Form

Please complete this form to order the Mining Utah's Heritage workbooks for your school.  This 16-page workbook is provided free of charge and complements the fourth grade core curriculum requirements for Utah state history.

 

School Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Phone (optional)
E-mail (optional)

How many workbooks does your school have on hand for Spring 2004? 

How many additional workbooks does your school need for Spring 2004? 

How many copies of the teacher newsletter and answer sheet should be sent? 

Name of 4th Grade teacher who should receive the books for the entire fourth grade 

Does your school have YES    NO

and use YES    NO the companion video, Stay Out and Stay Alive?

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