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Lucy Asteroid Ambassador Request Form
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Email Address
*
Your answer
School Name
*
Your answer
School Zip Code
*
General Public
University / College
High School
Middle School
Upper Elementary
Lower Elementary
Professional Group
Other:
Required
What time / date are you hoping for an ambassador to speak to your group? (e.g. Mondays at 2pm ET, a Saturday sometime next spring, Tuesday or Thursday mornings PST next month)
Your answer
Number of members / students (or typical number of meeting attendees)
*
Your answer
Why do you want a Lucy Ambassador to come speak to your group?
*
Your answer
Anything else you would like to share about your group/class?
Your answer
A copy of your responses will be emailed to the address you provided.
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