NASA Partner Request Form for Eclipse Glasses

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NASA Partner Request Form for Eclipse Glasses

After submitting this form, we will contact you directly to verify your request. Once your request has been accepted and fulfilled, a confirmation email will be sent to you.

***Conditions: Non-profit. No resale of eclipse glasses.***

A limited quantity of eclipse glasses are available on first come first served basis for events along the path of annularity.

Glasses are available to subject matter experts that are approved members of the Heliophysics Big Year effort, have completed training and have a SciAct event they are supporting. A request form must be completed and all recipients of will be asked to complete a follow up survey.

Email *

First and last name *

Name of SciAct team you're working with

SciAct point of contact *

Your phone number (for shipping) *

Your shipping address (NO PO BOX) *

How many participants do you anticipate for your event? *

Justification - please share your plan for distributing these glasses. *

Check the following acknowledgements *

I acknowledge that if I receive glasses, I will be asked to complete a survey.

I acknowledge I may be asked to spend 10 minutes with a SCoPE evaluator to discuss the program.

I acknowledge these glasses are for non-commercial use and cannot be resold.

Required

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