Name:
School/Organization:
E-Mail Address:
Phone Number:
GLOBE School ID:
Street Address:
City:	State/Province:
Zip/Postal Code:
Country:	Select Country Argentina Australia Austria Bahamas Bahrain Bangladesh Belgium Benin Bolivia Bulgaria Burkina Faso Cameroon Canada Cape Verde Chad Chile China Colombia Costa Rica Croatia Cyprus Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Estonia Fiji Finland France Gabon Gambia Germany Ghana Greece Guatemala Guinea Honduras Hungary Iceland India Ireland Israel Italy Japan Jordan Kazakhstan Kenya Korea, South Kuwait Kyrgyzstan Latvia Lebanon Liechtenstein Lithuania Luxembourg Madagascar Maldives Mali Marshall Islands Mauritania Mexico Micronesia Moldova Monaco Mongolia Morocco Namibia Nepal Netherlands New Zealand Nigeria Norway Pakistan Palau Panama Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saudi Arabia Senegal Serbia and Montenegro South Africa Spain Sri Lanka Suriname Sweden Switzerland Tanzania Thailand The Former Yugoslav Republic of Macedonia Trinidad and Tobago Tunisia Turkey Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Other
	(Select a country from this pulldown list to have your message sent to the GLOBE coordinator in that country. Or you may choose International Partners from the Category list above to have your message sent to the GLOBE International Team.)