Way 2 GO MAINE 2018 - Request(s) for Swag Materials
Please use this form as many times as you need to request Way 2 GO MAINE materials and incentives for individuals participating from your workplace during the month-long challenge, running October 1-31, 2018.

You can do an initial estimate of the number of folks you think will be participating before the event starts on October 1 and then make additional requests as people join the campaign through October 31st.

Depending on the timing of your swag request(s) we plan to get you the materials within approximately one week. Thanks so much for your interest and support!

Your Name (Point Person): *
Your answer
Name of Workplace: *
Your answer
Your E-mail (in case we have questions): *
Your answer
Best Phone for You: *
Your answer
Where to Mail Your Way 2 GO MAINE Swag & Promotional Materials: *
Your answer
Total number of employees at your workplace (if known). Can be a ballpark number. If you are part of a larger company or institution, please put the total number of employees working at all sites in Maine. *
Your answer
Please send me the following number of event posters that we will put up at our workplace (if you already have one or more from an initial request and that's enough, that's just fine):
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Your answer
Please send us the following stickers: (Enter estimated number you would like for the different stickers in the Other box that follows. Note: hand these out when a person signs up for the Challenge.)
Please send us the following number of Way 2 GO MAINE pens: (Blue with white lettering. Hand this out when a person signs up for the Challenge.)
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Your answer
Please send us the following number of reflective Way 2 GO MAINE magnets (we have run out of reflective zipper pulls but these are fun, too):
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Your answer
Please send us the following number of Way 2 GO MAINE cinch backpacks with reflective band (recommend hand out at end of second week):
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Your answer
Please send us the following number of Way 2 GO MAINE hats with reflective bands (recommend hand out at end of third week):
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Your answer
As a Point Person at my workplace, please send me an Ask Me About Way 2 GO MAINE blinking reflective beacon. (Beacon blinks and can also be used as a mini flashlight. Enter Yes to order a beacon. You may request more than one if you have additional Point People at your workplace - just note the number you need below.)
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Your answer
Anything else you'd like to add? Any thoughts for this year's challenge - before it starts or as it's underway?
Your answer
Thanks for all you're up to in both prepping for and acting as a Point Person during this event! Way 2 GO, you!
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