Contact Us

Contact Information:
If you would like to be contacted with further information about the Pitsco Education Curriculum, please fill out the form below.
First Name
Last Name
Title		Job Best Described as:
School/Org.		Tech Teacher F&CS/Home Ec. Teacher Voc-Ed Teacher Math Teacher Science Teacher Principal Superintendent School Board Member Curriculum Administrator Architect/Facility Planner Other
Street Address
Address (cont.)
City
State
Zip/Postal Code
Country
Work Phone
Fax
E-mail Address
URL of School

Are you currently planning the purchase of a modular education lab?
Yes No

If yes, for when is the purchase planned?
Within 6 months 6-12 months 1-2 years More than 2 years

What type of curriculum are you looking for (select all of the following that apply)?
Technology Science Math Family & Consumer Science Other	Missions (grades K-6) Modules (grades 7-9) Algebra (7-9) Suites (grades 10-12) CareerPorts(grades 10-14)

Would you like your local representative to contact you?
Yes No

How would you prefer to be contacted?
Phone E-mail

Would you like a copy of our most recent catalog?
Yes No

Use the box below to list any specific questions you would like to have answered: