Please note: Requests must be made at least 2 weeks prior to pick-up date.
Teacher/Contact Name:
School Name:
School Address:
City:
ZIP Code:
School Phone:
Home/Cell Phone:
E-mail Address:
Grade Level:
How many children will use/view the Trunk?:
Title I School:
Choose one Trunk:
Trunk rental fees: $100/month (half-price for Title I schools). Fees must be paid in full before pick up date.
First choice pick-up date (Enter response as Month/Day/Year; Ex: July/01/2010):
Second choice pick-up date (Enter response as Month/Day/Year; Ex: July/01/2010):
Length of rental:
