7 MBL Street, Woods Hole, MA 02543 USA | p: 508.289.7430 | education@mbl.edu | www.mbl.edu/education
Special Request Form for Shipping Course Orders to Home Institutions
1. Prior to placing your order, complete this form and return it to education@mbl.edu
for approval. Orders will not be placed without this authorization.
Investigator Name:
Course:
Home Institution:
Shipping Address:
Order item(s):
Item/Catalog Number Vendor Quantity Estimated Cost
Reason for shipping to home institution, not MBL and date needed:
2. Upon receipt of order: Send scanned copy of signed packing slip including date of
receipt to courseorders@mbl.edu. Your signature affirms receipt of intact item(s). All
items must be shipped or brought to the course at MBL.
I hereby agree to the conditions described on this form and attest to the truthfulness of the
rationale for not shipping these items to MBL.
_________________________________________________________________________________________________________
Signature of Investigator
_________________________________________________________________________________________________________
Approved by Director of Education
