Online request form

We don't need too much information, just your contact details, your school address and the dates of the term in which you plan to use the RMS Microscope Activity Kit.

Don't forget that there is only one condition attached to the RMS Microscope Activity Kit, and that is you provide us with details of how you used the equipment beyond the six lessons that come with the box. These details need to be submitted within two weeks of the end of the loan period. For further information, see How do I get one?.

Your details



?	First Name *
?	Surname *
?	Email (school) *


School details


?	Name of school *
?	Primary School or equivalent? *
?	Address 1 *
?	Address 2
?	Town / City *
?	County *
?	Postcode *
?	Phone no.

Headteacher's Details


?	First name *
?	Surname *
?	Email address *


Delivery and collection


?	First choice start (dd/mm/yyyy) *
?	First choice end (dd/mm/yyyy) *
?	Alternative start (dd/mm/yyyy) *
?	Alternative end (dd/mm/yyyy) *


Agreement


	(1) I understand that the Royal Microscopical Society will arrange for collection of the RMS Microscope Activity Kit and will cover all costs of transportation.
?	Confirm (1) *


	(2) Within two weeks of the end of the loan period, I agree to provide details of how my school used the equipment beyond the six lessons that were provided with the box.
?	Confirm (2) *


	(3) I understand that if I do not have the RMS Microscope Activity Kit ready on the agreed date of collection I must arrange for the RMS Microscope Activity Kit to be returned to the Royal Microscopical Society and my school will be liable for the costs incurred.
?	Confirm (3) *


	(4) In the case of (3) above I understand that if the box has not been returned to the Royal Microscopical Society within 7 days of the original agreed collection date my school may be invoiced for the full cost of the RMS Microscope Activity Kit.
?	Confirm (4) *


	How did you hear about the Activity Kits? *