CyberPatriot Material Request Form
Please indicate the quantity of each item listed you would like to request (Note: CyberPatriot has a limited printing budget. To prevent over-ordering, please consider the size of your target audience before submitting your request.)
Requestor Information
Your answer
Organization Name (if applicable)
Ex: AFA Chapter, School, Club, etc
Your answer
Street Address
(No PO Boxes - must be street address)
Your answer
Street Address Line 2
Your answer
Your answer
Your answer
Postal Code
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Phone Number
Your answer
Email Address
Your answer
Event Information
Name of Event
(Orientation, Open House, General Recruitment, etc.)
Your answer
Estimated # of Attendees
Your answer
Material Needed By
Latest possible delivery date
Informational Materials
If needed, additional copies can be printed directly from
CyberPatriot: How it Works
Explanation of how the national youth cyber defense competition works
Your answer
CyberPatriot Volunteer Program
for recruiting local community members as CyberPatriot volunteers
Your answer
CyberPatriot in Schools
overview of different CyberPatriot programs available to schools
Your answer
CyberPatriot Talking Points
outline for brief elevator speech about program
Your answer
Tri-Fold Brochure
Your answer
CyberPatriot IX Video
Your answer
Promotional Items
We have a limited number of giveaways and leftover inventory from past seasons. If you would like to request any of these items please fill out the following section.
Check off the following items you would like to receive
the CP Program Office will determine quantities based on # of attendees and available inventory
Special Requests
If you have any special requests, please explain in the space below
Your answer
Questions or Comments?
Please contact or call 877-885-5716
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