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Materials Request Form
Please fill out this form if you would like to receive materials from the GOES-R Program or NOAA SciJinks for your organization or for an upcoming event. If you have more than one event, please fill out the form again. Having problems with this form? Email
nesdis.goesr@noaa.gov
for help.
We require at least 3 weeks lead time for providing materials.
Note: We can only mail materials to U.S. addresses.
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Email
*
Your email address
Contact Information
Please provide your contact information below.
Name of contact person for event
*
Your answer
U.S. mailing address for materials
*
We want to make sure your materials are going to the correct place! Please provide a COMPLETE mailing address, including STREET ADDRESS, CITY, STATE, and ZIP CODE. Please press "Enter" after each line of address.
Your answer
Email of contact person for event
*
Your answer
Phone number of contact person for event
*
Please give phone number in this format: XXX-XXX-XXXX
Your answer
Event Information
Please provide us information about your event below.
Name of your organization
*
Your answer
Name of event
*
Your answer
Type of event
*
Your answer
Event location: City (U.S. only)
*
City in which the actual event will take place. (This may be different than your mailing address).
Your answer
Event location: State (U.S. only)
*
State in which the actual event will take place. (This may be different than your mailing address).
Your answer
Audience expected
*
Kids
Both kids and adults
Adults
Number of attendees expected at your event
*
Total number of people expected at event, kids included. Please enter quantity in numbers only--no commas. Example: 1000
Your answer
Number of kids expected at your event
*
If N/A, enter 0. (Quantity in numbers only--no commas. Example: 1000)
Your answer
Date of event
*
DD
/
MM
/
YYYY
Date materials needed by
*
We recommend leaving at least a week between your event and the date materials are needed by. This is just in case there is an issue with your request, but it is not mandatory. Please make sure to provide us at least 3 weeks of lead time to prepare, pack and ship your materials.
DD
/
MM
/
YYYY
Thank you!
Once you press "Submit," we will log your request and you should receive your materials around the "Date Materials Needed By" specified above. Please do not submit multiple requests for the same event, as you will likely receive double or even triple the amount of materials you initially requested. If we need to contact you regarding your request, we will use the information provided above to do so.
Thank you for taking the time to request NOAA SciJinks and NASA Space Place materials!
If you have any additional questions or comments about your request, please do so below.
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A copy of your responses will be emailed to the address that you provided.
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