Register Here: 
Required fields are marked with an asterisk (*).

1. *Last Name:

2. *First Name:

3. *Title:

4. *Home Address:
   *City: *State: - Choose One - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Zip:

5. Home Phone:

6. Home Email:

7. Cell Phone:

   School Information

8. *District
   

9. *School:
   

10. *School Address:
    *City: *State: - Choose One - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Zip:

11. *School Phone:
    

12. *School Email:
    

    
    

    
    
    

13. Climate Zone you live in: (Click here to view larger map to help you select your climate zone)
    - Choose One - 1a 1b 2a 2b 3a 3b 4a 4b 5a 5b 6a 6b 7a 7b 8a 8b 9a 9b 10a 10b 11a 11b 12a 12b 13a 13b

14. *Subject area taught:
    

15. *Grade level:
    

16. *Number of Biology classes taught:
    

17. *Number of students:
    

    Kit Descriptions
    Please select the quantity of each kit you require

    0 1 2 3 4 5 *(0-5) Starter Kit(s)

    The starter kit includes the following items for a class of 30 students working in pairs:

    15	48-well tissue culture plates with lid
    1	box toothpicks, 250 /box
    1	8.5 mL linamarin (cyanogenic glucoside) solution
    1	8.5 mL linamarase
    40	1.5 mL microcentrifuge tubes, non-sterile
    45	1.5 mL disposable pipettes, non-sterile
    30	sheets Feigl-Anger test paper
    90	binder clips, large
    60	plastic zip top freezer bags, gallon size

    0 1 2 3 4 5 *(0-5) Refill Kit(s)

    The refill kit includes the following consumable materials for a class of 30 students working in pairs:

    1	box toothpicks, 250 /box
    1	8.5 mL linamarin (cyanogenic glucoside) solution
    1	8.5 mL linamarase
    40	1.5 mL microcentrifuge tubes, non-sterile
    45	1.5 mL disposable pipettes, non-sterile
    30	sheets Feigl-Anger test paper
    60	plastic zip top freezer bags, gallon size