NanoDays 2010 physical kit application

NanoDays is March 27 through April 4, 2010!

Please fill out this application to be considered for a 2010 NanoDays physical kit. Applications for physical kits will be accepted from October 28, 2009 through December 15, 2009. A total of 200 kits are available for distribution. Kits will be shipped beginning in mid- January, 2010.

NISE Net also offers a digital download version of the NanoDays kit, complete with instructions, supply lists, marketing materials, and multimedia files. Consider this option if you are affiliated with an organization that does not hold public events, would like to preview the contents, are located outside the United States, or want to create multiple copies of print resources. Digital kits will be available for download after December 15, 2009 at www.nisenet.org/nanodays/.

Please enter the name of a contact person and a shipping address for your kit (No PO boxes please). Name:
Job Title:
Institution:
Institution website:
Address 1:
Address 2:
City/Town:
State:
Country:
Zip Code:
Email Address:
Phone Number:

1. Please enter the name of a contact person and a shipping address for your kit (No PO boxes please).

2. Have you participated in NanoDays activities in the past?

3. Which best describes your organization?