2021 Complimentary Mini-Torricelli Fountain Kit Sign-Up

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Please fill out this form to receive a complimentary kit from Engineer Inc. The first 15 educators who complete this form will be eligible to receive a free kit by mail. If you are not among the first 15, you will not receive a kit, but you can still attend the virtual presentation where we will demo the kit. The Mini-Torricelli Fountain Kit will be available for sale on Engineer Inc.'s website soon after the conference. This form collects all the information we need to mail your kit. This form will not sign you up for any mailing lists (we will not spam you).

E-mailadres *

Full Name *

School/Business/Organization Affiliation

What is your title at the organization you specified above?

Address Line 1 *

Address Line 2

City *

State (2 Letters) *

ZIP Code *

Phone Number *

Free Kit Eligibility *

I understand that only the first 15 applicants who complete this form will be eligible to receive a complimentary kit. If I am not one of the first 15, I will not receive a demo kit, however, I can still attend the presentation hosted by Engineer Inc.

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