Nomination Form
Your Name
Your answer
Your Contact Info (Email & Phone Number)
Your answer
Name of Educational Institution
Your answer
Address of Educational Institution
Your answer
Contact Person at Educational Institution (Name & Info)
This information isn't required now, but we will require the name and info of a staff member or someone directly affiliated with the educational institution to receive the Maslow. Basically, we want to see the machine put to use, not just stored in a box.
Your answer
Why should this educational institution receive a free Maslow?
Your answer
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