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AE Kids Order Form

* Required

* First Name
* Last Name
* Email
* Phone
* School Name
* Address
* City
* State
* Zip
* Grade(s) You Teach 4th     5th
* Number of Kits Requested
  1 poster + 30 magazines in each kit
  Example: 30 or less students = 1 kit
* Shipment Month October
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Alliant Energy Kids?