eMedia 2007

To request your copy of the 2007 set of eMedia DVDs,
please complete the following information:
  

  Buyer Agency
   		* required
  
 Contact
Representative
 First name:* required
Last name:* required
 
Mailing Address * required
City * required
State Zip * required
Shipping Address * only if different
City
State Zip
Office Phone * required
 Office Email  * required
        
Agency type
If "Other," please describe
   

   
Program Distribution to Schools
(Please check all that apply)

  Broadcast
  DVD
  VHS
  Cable channel(s)
  Internet
  LAN / WAN
  Datacasting
  Other

Describe:

    

     
      
    Types of Learner Population Served:
   (check all that pertain)
Pre-K Teacher In-Service
K-12 GED
Vocational Ctrs Special Ed Ctrs
Homebound Adult/Continuing Ed
Correctional Institutions
Other (Describe: )
   
 



Questions:  Contact Michelle Flamos at NETA
Phone:  803-799-5517, ext 109
Fax:  803-771-4831
Email:  michelle@netaonline.org
 

2007 eMedia DVD Order Form  

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