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EUREKA Intent to Renew

EUREKA's contract year starts July 1. We take pride in the fact that our subscription fees have not increased in over 20 years.

Please submit form by April 15th.

Click Submit below when you are done.

Site coordinator's name:
Organization:
Address:
City:
State:
Zip:
Phone number:
Fax:
Email:
Do you plan to renew your EUREKA contract? Yes. 1 year contract
Yes. 2 year contract (5% discount)
Yes. 3 year contract (10% discount)
Unsure. Please:
        call me to discuss my contract.
        email me to discuss my contract.
No. I do not intend to renew for the following reason(s).
Comments, reasons for not renewing:
Comments:

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