* 1. Name

* 2. Email

* 3. Phone Number

* 4. City

* 5. School/Organization

* 6. State

* 7. I acknowledge that I have borrowed the Giant Traveling Floor Map of Missouri and accompanying teaching materials from the Missouri Geographic Alliance.

* 8. If any damages or loss of equipment or other material occurs, I am financially responsible. (an itemized list can be found at mga.missouri.edu)

* 9. I am the individual responsible for the use and safekeeping of the Missouri Floor Map from the time it arrives to the time of its departure.

* 10. I agree to notify the Missouri Geographic Alliance if I need to cancel or change my plans to use the map at least four weeks prior to its scheduled arrival.

* 11. Upon receipt of the Missouri Floor Map and accompanying trunk, I will check the map for damage and check the trunk inventory using the checklist provided in the trunk. If any materials are damaged or missing, I will notify the Missouri Geographic Alliance immediately using the telephone number and/or email address on the inside lid of the trunk and on checklist.

* 12. I will enforce the rules provided by the Missouri Geographic Alliance and monitor the use of the Missouri Floor Map to ensure it is not damaged. I understand my school/organization is responsible for materials lost or damaged while it is in our possession.

* 13. In preparation for departure of the map, I will check the map for damage and check the trunk inventory using the checklist provided in the trunk. If any materials are damaged or missing, I will notify the Missouri Geographic Alliance immediately using the telephone number and/or email address on the inside lid of the trunk and on the checklist.

* 14. I will have the Missouri Floor Map packed and ready for pick-up at the agreed upon place and time. 

* 15. Within one week of the departure of the Missouri Floor Map, I will complete both user surveys.

* 16. If available, I will provide the Missouri Geographic Alliance with clippings or URLS of any local press coverage.

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