To apply for a ILC Mini Award, complete the form below. All fields are required for a successful submission.
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Organizational Information
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Organization: |
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Location: |
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Delivery Address: (2 lines, if needed)
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City:
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State: ZIP: |
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County:
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Web site
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Onsite Point of Contact (POC)
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Full Name:
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Title:
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Phone number:
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E-mail address:
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ILC Office Package Options
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Select the package of free fasteners/etc. that best meets the needs of your ILC Office:
Office Package 1 (Ready America): 15 tall furniture strap kits, 15 file cabinet straps, 45 bookshelf front straps, 30 tabletop equipment (printer, desktop computer, etc.) fastening sets, 1 large appliance/refrigerator strap, 40 cabinet door latches, 40 A-Maze-ing Picture Hooks, 10 packets QuakeHold! putty, 10 2oz Museum Wax containers, 2 gas shut off wrenches.
Office Package 2 (Ready America): 20 tall furniture strap kits, 5 file cabinet straps, 60 bookshelf front straps, 5 tabletop equipment (printer, desktop computer, etc.) fastening sets, 2 large appliance/refrigerator strap, 80 cabinet door lift-latches, 40 A-Maze-ing Picture Hooks, 20 packets QuakeHold! putty, 10 2oz Museum Wax containers, 1 gas shut off wrench.
Office Package 3 (Safe-T-Proof): 6 tall furniture strap kits, 20 computer monitor fasteners, 2 tabletop equipment (printer, desktop computer, etc.) fastening sets, 3 refrigerator or large item fastening sets, 30 cabinet door seismolatch automatic latches, 4 packages quake secure putty.
Office Package 4 (Safe-T-Proof): 10 tall furniture strap kits, 20 computer monitor fasteners, 2 tabletop equipment (printer, desktop computer, etc.) fastening sets, 1 refrigerator or large item fastening set, 20 cabinet door seismolatch automatic latches.
Please add any comments or questions you may have about the options you have chosen, which we will contact you to discuss.
0/500 characters max
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ILC-Supported Residential Package Options
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Select the package of free fasteners/etc. that best meets the needs of your residences:
10-Residence Package 1 (Ready America): 20 tall furniture strap kits, 10 flat screen TV straps, 20 tabletop equipment (printer, desktop computer, etc.) fastening sets, 40 cabinet door lift-latches, 40 A-Maze-ing picture hooks, 20 packets QuakeHold! putty, 10 gas shut off wrenches.
15-Residence Package 2 (Safe-T-Proof): 15 tall furniture strap kits, 15 flat screen TV straps, 30 cabinet door seismolatch automatic latches).
Please add any comments or questions you may have about the options you have chosen, which we will contact you to discuss.
0/500 characters max
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Project Information
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Please review these agreements and check all boxes in order to submit your application:
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| Please review your application to ensure you’ve completed all sections in sufficient detail, before clicking the following button: |
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