SC0334i (07/08/2015) e
Name:
School Name:
School Street Address:
School City: State: Zip:
County:
Ext.:
E-mail Address:
Date 1: Date 2: Date 3:
School:
Teacher Contact:
Confirmed By:
Presentation Scheduled For:
On:
Date:
This section will be completed by Santee Cooper and returned to you as confirmation.
For further information contact:
If cancellation is necessary, please call 347-3399, Ext. 3030 ASAP.
I will need a DVD player, Television and a lunch room size flat top table (for hands-on demonstrations).
Teacher
CLASSROOM PRESENTATION REQUEST
Allow 60 minutes per presentation. The last presentation should end by 2:00 PM.
Time Grade
# of
Students
List three preferred dates
for presentation:
Please complete for each teacher attending:
1.
2.
3.
4.
Requester and School Information
Presentation Information
Daytime Telephone: - -
Fax Number: - -
Brandy Incorvia
Administrator of Educational Programs
Santee Cooper
305-A Gardner Lacy Road
Myrtle Beach, SC 29579
Fax: 843-347-8781
Email: brandy.incorvia@santeecooper.com
