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The KAMM-12 Report Recipient 20% Discount -- Registration Page

This form registers you as a KAMM-12 report recipient and will enable you to receive a 20% discount on items we carry which are recommended by the KAMM-12 report.

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KAMM-12 Report Recipient registrants will be set up with a username in our online store. 
Form information is handled securely via SSL.

Section #1:

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Contact Information:
(fields in Bold are required)

First Name

Last Name

Middle Initial

Organization

Street Address   

Address (cont.)

City

State

Zip Code

Country

   
Phone Number

FAX

   
E-mail

URL

Section #2:

bulletPlease enter a username
-  A temporary password will be emailed to you, along with instructions on how to enter your own password.
User Name

Section #3:

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Acceptance response is required for the Give10Get20 Registration:

Agreement to Terms-of-Use

I have read and agree to the Terms-of-Use Agreement  for this website:

I Accept    I Don't Accept
 

 

Once you click on Submit Form, your Browser may indicate that there are secure and non-secure items on the confirmation page.. this is OK since your data has already been collected securely and only the username and email is printed back to confirm your registration request for this program.

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