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*Asterisks mark required information
*Organization
Contact Person
*Title
Select
Dr.
Mr.
Mrs.
Ms.
*First Name
*Last NAme
*Email
*Confirm Email
Address
Address 2
City
State
DC
MD
VA
ZIP
Phone
(xxx-xxx-xxxx)
Work Phone
(xxx-xxx-xxxx)
Fax
(xxx-xxx-xxxx)
*Awards
*Please list the awards you are providing (Example: 1st Place for excellence in Medical Science: Certificate and Book, 1st Place $100 cash award, etc.)
Level we will judge
Senior - Grades 9-12
Junior - Grades 6-8
Both - Senior & Junior
*We will send a panel of judges to select projects for awards
Yes
No
*Number of Judges
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
We WILL NOT send a panel but will send criteria for Science Montgomery to select awards winner(s):
Yes
No
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