Product Loan Request Form for Educators in the U.S.

Previous Requester Name School/Institute

Ship to School/Institution Address Address 2 City State ZIP Phone Ext Email address

Attention School/Institution Address Address 2 City State ZIP Phone Ext

Date required Ending date Planned use

TI-Nspire™ CX - Handheld TI-Nspire™ CX-30 - User Set with Docking Stations TI-Nspire™ CX CAS - Handhelds TI-Nspire™ CX CAS - User Set with Docking Stations TI-84 Plus CE - Calculators TI-84 Plus CE - 30-User Set with Charging Stations TI-84 Plus C Silver Edition - Calculators ** TI-84 Plus C Silver Edition - 30-User Set with Charging Stations** TI-73 Explorer™ - Calculators TI-73 Explorer™ - 30-User Set * TI-89 Titanium - Calculators TI-89 Titanium - 30-User Set * TI-15 Explorer™ - Calculators TI-15 Explorer™ - Overhead Calculators TI-15 Explorer™ - 30-User set with Overhead Calculator TI-30XS MultiView™ - Calculators TI-30XS MultiView™ - Overhead Calculators TI-30XS MultiView™ - 30-User set with Overhead Calculator TI-34XS MultiView™ - Calculators TI-34XS MultiView™ -Overhead Calculators TI-34XS MultiView™ - 30-User set with Overhead Calculator TI-Nspire™ CX Navigator™ 30-User System TI-Nspire™ CX CAS Navigator™ 30-User System

10-User TI-Nspire™ Lab Cradles with Charging Bays* 5-User TI-73 Explorer with CBL 2 System, Light, Temperature, & Voltage Probes Individual CBL 2 3-Axis Accelerometer CO2 Gas Sensor Conductivity Probe Differential Voltage Probe EasyLink™ Interface EKG Sensor Gas Pressure Sensor Hand Grip Heart Rate Monitor Magnetic Field Sensor O2 Gas Sensor Photogate Respiration Monitor Belt Thermocouple TI-Light Probe Voltage Probe Individual TI-Nspire™ Lab Cradle* CBR 2™ Motion Detector Barometer Colorimeter Current Dissolved Oxygen Probe Dual-Range Force Sensor EasyTemp™ Direct-Connect Sensor Hand Dynamometer Low-g Accelerometer Microphone pH System Relative Humidity Sensor Sound Level Meter Turbidity Sensor Temperature Sensor Water Depth Sensor

TI-Innovator™ Hub (limited availability) If any additional products are required please enter your request below:

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Product Loan Request Form for Educators in the U.S.

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