Supply Order Form : The Meadows Center for Water and the Environment : Texas State University

Name *

Email *

Phone number *

Street address *

City *

Zipcode *

Name of Texas Stream Team partner or group *

Additional general supplies needed

Please list out how many of each general supplies you need along with any other notes (bottle sizes, standard range, problems, expiration info, etc).

Other Standard Core supplies needed

Please list out how many of each Standard Core supplies you need along with any other notes (bottle sizes, standard range, problems, expiration info, etc).

Additional Probe Core supplies needed

Please list out how many of each Probe Core supplies you need along with any other notes (bottle sizes, standard range, problems, expiration info, etc).

Additional Advanced supplies needed

Please list out how many of each Advanced supplies you need along with any other notes (bottle sizes, standard range, problems, expiration info, etc).

E. coli monitoring events per month (# will be used to calculate the supplies we will mail you)

By when do you need these supplies by? *

Do you have any other funding sources helping you supply your kits and/or supplies? (e.g. Local partner, Texas Stream Team, self-funded, etc.) *

How many Standard Core kits are loaned to your group from Texas Stream Team? *

How many total Standard Core kits are accessible for your group (from Texas Stream Team, local partner, self-funded, ect)? *

How many citizen scientists share these Standard Core kits? *

How many Probe Core kits are loaned to your group from Texas Stream Team? *

How many total Probe Core kits are accessible for your group (from Texas Stream Team, local partner, self-funded, ect)? *

How many citizen scientists share these Probe Core kits? *

How many Advanced kits are loaned to your group from Texas Stream Team? *

How many total Advanced kits are accessible for your group (from Texas Stream Team, local partner, self-funded, ect)? *

How many citizen scientists share these Advanced kits? *

What is the reason for this supply request? (i.e. out of stock, expired, etc.) *