National PTA Giveaway Entry Form: Request for Free Lysol® Disinfecting Products
Please supply the information below for an opportunity to receive free disinfecting wipes and spray from Lysol®, a promotion in conjunction with Teacher Appreciation Week.

Opportunity:
National PTA will randomly draw 100 PTAs* from the entries received.

What Your PTA Will Receive:
Each chosen PTA site will be mailed 4 cases of Lysol Disinfecting Wipes (6 units per case of 80 count flatpack wipes) and 2 cases of Lysol Disinfectant Spray (12 units per case of 12.5oz cans).

Deadline & Notification:
Entries will be accepted until May 7, 2021 at 7 PM EST. National PTA will notify recipients by email by May 28. Lysol® then will be provided the addressee information from this form to ship the products.

Delivery:
Lysol anticipates that all products will be delivered to coincide with the start of the 2021-2022 school year.

Eligibility & Rules (Other rules and restrictions may apply):
* PTAs must be in good standing with their State PTA.
* Unfortunately, this opportunity cannot be extended outside of the contiguous United States and is therefore not available to PTAs in AK, HI, PR, USVI, or Europe.

Lysol® is a Proud National PTA Sponsor. National PTA does not endorse any commercial entity, product, or service. No endorsement is implied.
Email *
Your First Name *
Your Last Name *
PTA Name *
PTA ID Number (If you do not know your PTA ID number, please answer: "00000000"). *
Your School's Name *
PTA-Affiliated School Mailing Address (if selected, products will be mailed to this address) *
PTA-Affiliated School Phone Number (to be contacted regarding delivery if needed) *
By checking the box below, I confirm that I have consulted with our school principal or administrator, and our PTA has permission to opt-in to this product donation on behalf of the school. *
Required
Please check the boxes below to indicate you accept the following conditions of the product donation. *
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