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Full Name:
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Email Address:
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Phone Number:
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Use
(123) 456-7890 x123
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Fax Number:
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Agency/Company Name:
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Agency Type:
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K-12 Agency (LEA)
Technology Vendor (Manufacturer/Publisher/Reseller)
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Please fill in as many product
recommendations as you wish (limit 5 per form). Only the
first one is required. Select from the drop down list for
product type. Manufacturer Name should be the
manufacturer/publisher's name (i.e. IBM, Compaq, Intel,
etc). Please leave a short description including model or
product type/category. You may fill this form out as many
times as you wish.
When finished, click the
'Submit
Form' button at the bottom
of this page.
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Product Type:
(Select one)
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Manufacturer Name:
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Model and Description:
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Product Type:
(Select one)
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Manufacturer Name:
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Model and Description:
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Product Type:
(Select one)
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Manufacturer Name:
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Model and Description:
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Product Type:
(Select one)
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Manufacturer Name:
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Model and Description:
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Product Type:
(Select one)
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Manufacturer Name:
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Model and Description:
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