Order Form

Please reserve the following materials:___________________________________________________

Date you would like the materials: _______________ Teacher Name: _________________________

School: ____________________  School Address: ____________________________________________

Town: ____________________   Zip: _______________________  Grade: ________________________

___ Yes, consider me an Educator Member so I can receive the quarterly newsletter.

___ Yes, consider me a Sustaining Member.  My donation of  ______   is enclosed.

Return this form to:

For information
Lisa Nevins
Education Director
Agriculture in the Classroom

295 Sheep Davis Road

Concord, NH 03301

Phone: (603) 224-1934

FAX: (603 228-8432

e-mail: LISAN@nhfarmbureau.org