signup page for student discount from Automation 4 Less


		Toll Free: 877-444-6789 \| Tel: 704-639-0710 \| Fax: 704-639-9866 E-mail: info@automation4less.com \| P.O. Box 3502 \| Salisbury, NC 28145 Student Discount Sign-up Page

The lifeblood of industry is the continuing flow of bright young minds into the workforce. And nowhere is this more true than with automation-related fields. We want to do our part to nurture this.

Automation 4 Less will award a 5% across-the-board discount to any qualifying student on purchases made from our online store. Remember, our prices are already LOW, and there's free shipping on most orders over $50. This just sweetens the deal.

How does it work? Just fill out the form below and submit it. We'll review your information, and if everything checks out, we'll send you a DISCOUNT CODE via e-mail. You simply shop in our online store, and when you're ready to submit your order, type your discount code into the box in the cart. Your 5% deduction will be calculated on the spot.

We look forward to hearing from you and helping you with your projects!

(Red fields are required)

Can we send you our bi-monthly E-Newsletter?	Yes No (Get more information)
Your Name (first & last):
Your School's Name:
School Location:	City: State/Prov:
Your E-Mail Address:
Your Mailing Address:
City:
State/Province:
Zip/Postal Code:
Your Phone #:	Format: 555-555-1212
Major or principle field of study:
If you selected "Other" from the dropdown above, type in your major or study emphasis.

Please provide the name of your department head or adviser:
Provide EITHER the phone number or e-mail address for the person whose name you have given as your adviser:	Adviser E-Mail:
	Adviser Phone #:

Additional Details (optional): Please give us brief details about your project(s)
and some of the products you are likely to need for it.

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