Traveling Science and Mathematics Demonstrations Program
TSMDP
Kit Reservation Request Form

Requests should be made at least 1 FULL WEEK prior to the date you need a kit.
*Please be reminded that the kit you request may not be available.
You will be notified via e-mail (please provide correct email address below) when your reservation request has been confirmed or denied.

You may also call 803-641-3683 to make reservations.

Today's Date:
Teacher or Presenter's Name:*
School / Company:*
Home Address:*
Work Phone:* Home Phone:*
Email:*
*Required Field

Reservation Information:
Reservation #1

4 Digit Bar Code# or Title of the Kit:

*Listing and Descriptions of all TSMDP kits.

Beginning Date:
Ending Date:

Reservation #2

4 Digit Bar Code# or Title of the Kit:

*Listing and Descriptions of all TSMDP kits.

Beginning Date:
Ending Date:

Reservation #3

4 Digit Bar Code# or Title of the Kit:

*Listing and Descriptions of all TSMDP kits.

Beginning Date:
Ending Date:

Reservation #4

4 Digit Bar Code# or Title of the Kit:

*Listing and Descriptions of all TSMDP kits.

Beginning Date:
Ending Date:

Special Requests:



URL: http://www.usca.edu/ /RPSEC/forms/reservationrequest.html
(August, 2015)

Ruth Patrick Science Education Center
Center of Excellence in Educational Technology
University of South Carolina Aiken
471 University Parkway
Aiken, SC 29801
803-648-6851