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Mad Science of Colorado - Inquiry form
Please fill out your contact information below.
Your Name
*
First Name
*
Last Name
*
Preferred method to get back to you
Phone
Email
Primary Contact Phone
*
Email
Confirm Email
*
Mad Science Email
This Email is our internal Email to receive copy of confirmation Email as it goes to customer
Preferred time to back to you
During regular business hours
Mornings
During Lunch hours
Afternoon
Who is assigned task
Samy
Michelle
Bronwyn
Vaneet
What's the reason for this Inquiry?
Follow-up on existing registration/Order
New Enquiry
Escalation
other
Mad Science Program that are of Interest to you
Halloween Booth / Party
Birthday Party
Assembly
Girls / Boys Scouts Badge programs
WorkShop
In Class Field Trip
Pre-K Workshop
Special Event
Vacation Camp
After School Program
Advertising
Programming partner
Vendor
Not sure yet
Choose preferred date for your Event?
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Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
01
02
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05
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07
08
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16
17
18
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20
21
22
23
24
25
26
27
28
29
30
31
Year
2024
2025
Leave this field blank for general inquiries or if you are not sure. We try and accomodate your requested dates but you will be required to confirm the date with Mad Science booking Manager. We hold events during the weekend and Holidays at NO Extra cost.
Choose preferred Time slot for your Event?
08:00 AM to 11:00 AM
11:00 AM to 02:00 PM
02:00 PM to 05:00 PM
05:00 PM to 07:00 PM
Leave this field blank for general inquiries or if you are not sure. We try and accomodate your requested dates but you will be required to confirm the date with Mad Science booking Manager.
Question/Comments
If you are Escalating an issue, please let us know when you reach out to us first time and how. If you wish to cancel or modify an existing registration, please mention the registration ID that you received in confirmation Email.
Office only: Resolution
Characters remaining:
200/200
What was the conclusion reached with the customer. Please remember to put your name while adding comment
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