B&K Precision Educational Promotion Eligibility Form V092514 Bk

2014-09-26

: Bk Bk Precision Educational Promotion Eligibility Form bk_ precision_educational_promotion_eligibility_form bkprecision s

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Educational Promotion Eligibility Form
Educators are entitled to 10% off the B&K Precision published list price on all orders placed with
an authorized distribution partner. Orders must total $5,000 or more in qualifying B&K Precision
products, and must include a copy of this completed eligibility form and a proof of purchase.
Contact'Information'*'
!Educational!!
!Institute:!!
!
!Address:!!
!
!
Technical'Contact'(include'information'about'the'individual'that'specified'the'purchase'or'main'
end9user)'*'
Name!:!!
!
Title!:!!
!
Email!Address!:!!
!
Phone!:!!
!
!
Model'/'Quantity'Purchased'*'
!!
!!
!
Serial'Number(s)'
!!
!!
!!
!
Please'provide'a'short'description'of'your'application'(using'the'above'instruments)'*'
''
''
''
''
!!
!!
!
Would'you'like'to'receive'email'updates'with'information'about'new'product'
releases,'application'notes,'how9to'guides,'and'special'promotions?''
How'did'you'hear'about'this'promotion?'*'
!!
!
!
*'Mandatory'fields'
v092514

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