Request a Touch Tank Visit
Touch Tank Request
Please complete this form to request the UMaine Touch Tank for your event. We will follow up to discuss availability, pricing, and finalize your booking.
Name
(Required)
First
Last
Email
(Required)
Enter Email
Confirm Email
Date
(Required)
Please share the date of which you are requesting the touch tank.
MM slash DD slash YYYY
Start time
(Required)
Please share the start time for your touch tank event request.
End time
(Required)
Please share the end time for your touch tank event request.
Phone
(Required)
Please share the best phone number to contact with questions about your event.
Participants
(Required)
Please estimate the number of participants for your touch tank event request.
Your organization
(Required)
Please share the name of the organization requesting the touch tank. If you are not an organization, type N/A.
Organization Type
(Required)
Please select the best choice to describe your organization.
School/Library
Business
Non-Profit
Private Event
UMaine 4-H
Other
Address
(Required)
Please share the address at which you are requesting the touch tank.
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Pricing
(Required)
Select the pricing structure that best fits your organization and budget.
Corporate/Private - $600
Tier 1: Small Non-Profits or Schools with Limited Budgets - $200
Tier 2: Medium Non-Profits or Schools with Moderate Budgets - $350
Tier 3: Large Non-Profits or Schools with Larger Budgets - $500
How did you hear about us?
Reasonable Accommodation
If you need a reasonable accommodation, please enter it here.
Additional Questions/Comments
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Request a Touch Tank Visit
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