KHORLIUM
Khorlium has been limited to a production of 50 boxes per year.
NO NEW BOXES WILL BE PRINTED DURING 2017.

Science Scribe is currently preparing for the 2017 batch of Khorlium
and packaging will occur this summer.

There are NO financial obligations on your part for
filling out this form.

We need your email address so we can contact you
as soon as a batch is ready in 2017. This will help you
jump ahead of the queue.

Email address
Your name:
Your answer
How many boxes of Khorlium are you considering?
TEACHER NOMINATIONS
Complete the following responses if you would like to nominate a teacher for their chance to win a free box (or boxes) of Khorlium. You need to:

- Enter the name of the teacher you want to win (first and last).
- The high school your nominee currently working at.
- Specific reasons for why you think your amazing teacher should get a free box (or boxes).
- One reason why your school is awesome.

Science Scribe will make random draws throughout the year.
These will be announced through our social media pages such as Facebook;
if your nominee is successful, the boxes will be sent to their high school at no cost.

- We are not currently accepting student nominations.
- You cannot nominate Science Scribe staff.
- The teacher must currently be teaching, or have retired recently and
still be on the EDUCANZ register.
- Private tutors, staff at tuition companies, are not eligible.
- Teachers may nominate other teachers.

Nominate your teacher here:
Your answer
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms