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Water Education Materials Order Form

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Steps

1. Contact Information(current) This section is complete This section is incomplete
2. Classroom Supplies This section is complete This section is incomplete
3. Additional Resources This section is complete This section is incomplete

Contact Information

Teacher's Name*
Teacher's Email*
Grade Level(s)
Number of Students*
School Name*
*Must be within CVWD's service area to receive free water education materials.
School Address*
City*
State*
Zip*
Phone*
Delivery of Materials*
Please allow one week for delivery and pick up. Please indicate which method you prefer:
1. Teacher will pick up at CVWD headquarters
1. Please deliver to school address
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Classroom Supplies

Please indicate quantities in the fields below:
CVWD Pencils
(35 per teacher maximum)
CVWD Pens
(35 per teacher maximum)
5th Grade Student Artwork Folders
(35 per teacher maximum)
"Water is Life" Pencil Sharpeners/Eraser Combo
(35 per teacher maximum)
Water Cycle Poster
(One poster per classroom)
California Water Map
(One map per classroom)
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Additional Resources

Teaching aides are available on loan only. Please select from the following:
1. The Hamburger Model for kindergarten - fourth grade

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1. Receive an email copy of this form.
Email address

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Cucamonga Valley Water District
10440 Ashford Street
Rancho Cucamonga, CA 91730-2799
Phone: 855-654-2893
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Monday through Thursday
7 am to 6 pm
Closed Fridays
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