Pandora Corp. is proud to present our PD Pandora Internet Safety symposium. Please fill out the fields below and click "submit."
Please fill out this form completely! All requests will be honored!

ORGANIZATION INFORMATION

(* indicates required fields)

NAME of ORGANIZATION *

ADDRESS *

Street address

City

Zip

State

ORGANIZATION HOMEPAGE

NAME of PRIMARY CONTACT *

TELEPHONE *

EMAIL *

NAME of SECONDARY CONTACT

TELEPHONE

Short DESCRIPTION OF ORGANIZATION *

Anticipated DATE OF SYMPOSIUM *

Anticipated NUMBER OF ATTENDEES *

Which PD Pandora Internet Safety package are you interested in?

I am requesting the PD Pandora Internet Safety Symposium kit!

We don't have the resources to hold a symposium at this time. Can we just have the eBook version?

Additional Optional Information...

Do you have a web page dedicated to Internet safety? Yes: No:

Prior to using PD Pandora, what other internet security informational programs did you utilize in seminars and meetings?
(list any that apply):

PROMOTIONAL CODE

(optional)

In the space below, enter your desired promotional code. This code should be promoted to parents at the symposium. It will save parents $10 on the purchase of PC Pandora monitoring software and will be tracked for sales. Forty percent (40%) of all GROSS sales from the code will be donated back to your organization. Parents must use this code in order for us to track and donate to your organization. Donations will be made based on sales with the code utilized, not on attendance size of the symposium.

NOTE: Keep the code short and simple to decrease the chance of user input error. Do not use spaces.

ENTER YOUR DESIRED PROMOTIONAL CODE:

By submitting this form, you are certifying that you have read and filled out the information to the best of your ability, and you understand that PD Pandora materials given to the above stated organization are for free and to be used for educational purposes only! By participating in the PD Pandora Internet Safety program, you agree to let Pandora Corp. make known their working with your organization to local media at their discretion.