Request a Burke Box online!

*Name:

School or Group Name:

*E-mail address:

Address 1:

Is this address: School Home

Address 2:

Is this address: School Home

*Phone 1:

Is this phone: School Home Cell

Phone 2:

Is this phone: School Home Cell

Fax number:

*Which box(es) do you want?
(Not sure?
See box info.)

1st choice:
African Art Age of Dinosaurs Alaskan Arctic Ancient Egypt Ancient Writing Archaeology of West Point Australia Bats Before the Dinosaurs Birds of Washington China Day of the Dead Earthquakes Fish Fossils Geology of Mt. Rainier Insects Japan Lewis & Clark at Fort Clatsop Local Shells */ ?> Mammals of Washington Marine Invertebrates Mexico Native Peoples & the Environment of Washington Native Peoples of Puget Sound Native Peoples of the Northwest Coast Northwest Coast Potlatch Owls */ ?> Peopling of the Americas Prehistoric Animals Rocks and Minerals Tropical Shells */ ?> Washington State Pioneer History Whales What is Archaeology?
2nd choice:
African Art Age of Dinosaurs Alaskan Arctic Ancient Egypt Ancient Writing Archaeology of West Point Australia Bats Bills and Claws Bird Identification Before the Dinosaurs China Day of the Dead Earthquakes Fish Fossils Geology of Mt. Rainier Insects Japan Lewis & Clark at Fort Clatsop Local Birds Local Shells */ ?> Mammals Marine Invertebrates Mexico Native Peoples & the Environment of Washington Native Peoples of Puget Sound Native Peoples of the Northwest Coast Northwest Coast Potlatch Owls*/ ?> Peopling of the Americas Prehistoric Animals Rocks and Minerals Tropical Shells */ ?> Washington State Pioneer History Whales
3rd choice:
African Art Age of Dinosaurs Alaskan Arctic Ancient Egypt Ancient Writing Archaeology of West Point Australia Bats Bills and Claws Bird Identification Before the Dinosaurs China Day of the Dead Earthquakes Fish Fossils Geology of Mt. Rainier Insects Japan Lewis & Clark at Fort Clatsop Local Birds Local Shells */ ?> Mammals Marine Invertebrates Mexico Native Peoples & the Environment of Washington Native Peoples of Puget Sound Native Peoples of the Northwest Coast Northwest Coast Potlatch Owls */ ?> Peopling of the Americas Prehistoric Animals Rocks and Minerals Tropical Shells */ ?> Washington State Pioneer History Whales

How many students will be using the Burke Box?

*Grade: (estimated) Pre-K Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Elementary Middle High school College (non-UW) Adults Seniors UW Students/Staff

*When do you want to borrow the Burke Box?
(mm/dd/yy)

How long do you want to borrow the Burke Box? 1 week     2 weeks     other    

How would you like to get the Burke Box? I'll pick it up at the Burke     Please mail it to me

Any special arrangements?

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