Video Request Form

To: K-12 Initiative

From:

Email:

Street Address:

City:

State:

Zip:

Please list below the DVD Number and Title for each video that you are requesting.

We look forward to working with you. You can contact the K-12 Initiative at (479)880-4285 OR (479)968-0274 OR mtarver@atu.edu OR (479)964-0812 (FAX).