Learning Collaborative

Kit Rental Form*** Please read our privacy policy

Your Name
Your Phone
Your Email
School Name
School District
School Phone
Name of Rental Kit
Select Rental Cycle	August 25th (2008).....................October 20th (7 weeks) November 3rd (2008).....................December 22nd (7 weeks) January 5th (2009).....................February 19th (7 weeks) March 9th (2009).....................April 16th (7 weeks) May 4th (2009).....................June 18th (7 weeks)
* PO Number

I understand I am renting the above kit for a fee of $35.00. I agree to arrange for pickup and return of the kit to Southeast Vermont Learning Collaborative (SVCLC) by the date specified below, or pay a $10.00/week late charge. It is my responsibility to account for all materials in the kit (see attached inventory). Should any non-consumable materials or equipment become damaged or lost, I will reimburse SVCLC for the cost of replacement. Consumable materials are included in the cost of the rental.

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