Juneau Economic Development Council

SeaPerch Order Form

Please fill in the requested information and click "submit" and your order will be automatically submitted to JEDC. For any questions or comments, please contact Bob Vieth at rvieth@jedc.org or call at 907-523-2342. Another option is to download a printable copy of this form (PDF).

Your Name:

Email:

Your School:

Your District:

Grades Impacted:

# of Students:

Shipping Address:

Billing Name and Address:

# of kits, $10 each:

Date Required:
Note: YOU pay the shipping charges for this equipment.

Optional Equipment for Loan

Underwater Cameras (#):

VEX Cortex Microcontroller (#):

VEX Motor Controller (#):

LEGO NXT Microcontoller (#):

Duration of Loan:

Note: YOU pay the shipping charges for this equipment.

Optional Equipment for Purchase (at a discount)

High Intensity 4W white LED, $1.00 each (#):

LED Driver, $5 each (#):

Underwater Camera w/ Monitor and Battery, $50 each (#):

Note: YOU pay the shipping charges for this equipment.