Hamilton Neuros Syringe Program Application

Hamilton proudly supports individuals pursuing higher education and research, by granting a Neuros Syringe weekly* as a tool for education and discovery. Complete the form below and and join the weekly competition to win a Hamilton Neuros™ syringe of your choice.
*1st of March to 31st of May 2021

DEADLINE: Applications must be completed as testimonials (ex: http://bit.ly/3eu3LeQ) and received by every Friday.

SUBMISSIONS: Multiple applications may be submitted as long as the application is different.

EVALUATION: Applications are evaluated on every Monday and the winner is notified by e-mail latest on Tuesday the following week. Evaluation criteria:
1. Potential to positively impact the research
2. Degree of innovation
3. Composition and effort

Note: You will NOT be able to save your progress while completing the application form. You may format your responses in a word processing program, then “paste” the finished product onto this form under the appropriate headings.

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Review Privacy Policy: http://bit.ly/3r3SDJm

First name *

Last name *

Organisation *

Title/Position *

Department *

Email *

Phone *

Address *

Describe the application or technique where the Hamilton Neuros Syringe will be used? *

How would using the Neuros Syringe benefit your work? *

For your application, do you have any suggested product improvements that would help your work? *

How did you hear about the Hamilton Neuros Syringe Program? *

Are you 18 years of age or older? *

Yes

Terms and Conditions *

I agree to the general terms & conditions terms of organizing this contest.

Required

Marketing Permissions

I agree for my personal data to be processed in order to participate in this contest, as well as for marketing purposes, in accordance with the procedure established at the level of Hamilton Central Europe SRL.

Hamilton uses the contact information you provide to contact you about our products and services. You may unsubscribe from these communications at any time. For information on how to unsubscribe, as well as our privacy practices and commitment to protecting your privacy, please review our Privacy Policy: http://bit.ly/3r3SDJm

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