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Muse Name Submission form†
Send Electricka your nominations for a muse name, one name per form.

Field Name
 

   Your Entry
 		 Instructions
 
*First Name:     We'll use this name when we correspond with you. We only publish this name if you specify.
*Last Name:     We'll use this name when we correspond with you. We only publish this name if you specify.
Alias Name:

 

     If you want your alias name published, enter it here.
*Email Address:     Expect an automatic acknowledgement via email.†
 
*Which Muse Are You Naming?  

 

 Select the muse whose name you are submitting. Select only one. To submit another muse name, use an additional form.
*Your Name For the Muse:     Enter (type) the name you are submitting for the muse you have selected. No more than 30 characters, please.
*Explain Why You Are Choosing This Name:     Please give the reasons for your choice. Explain the significance of the name. Explain what the name means to you. Provide any additional information you think Electricka might be able to use to develop a profile of this cohort muse. Please limit your remarks to 1000 characters.
Questions & Comments:     Add any comments that will clarify the entries you made in the rows above. Ask any questions that you may want answered. Please limit comments and questions to 1000 characters.
*Publish My Name:   Publish my first & last name if my muse name nomination is published: Yes  No Select "yes" if you want your name published.
*Publish My Email Address:   Publish my email address if my muse name nomination is published: Yes  No Select "yes" if you want your email address published.
Action:  

Click SUBMIT. You'll see a Form Review page in a few seconds.

Electricka will send you email acknowledging receipt of this form. Electricka may contact you by email later if there are questions, comments, or requests.
   

Thanks for submitting this Muse Name!

  
 
†Notes:  
  • Starred items are required.
  • Electricka will acknowledge receipt of this form via email.
  • Allow three or more days for Electricka to process and post your form before you look for your muse name submission at Electricka's web site.
  • Electricka will contact you via email if your muse name is chosen for a vote or if it wins a vote.
  • ETAF never sells or gives away your personal information.
  
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