<!--Begin CTCT Sign-Up Form-->
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       <span id="success_message" style="display:none;">
           <div style="text-align:center;">Thanks for signing up!</div>
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           <h3 style="margin:0;">Sign up to stay in touch!</h3>
           <p>Receive the latest news and events in your inbox. If you'd like to receive Hands On!, please give us your mailing address.</p>
           <!-- The following code must be included to ensure your sign-up form works properly. -->
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           <input data-id="required:input" type="hidden" name="required" value="list,email,first_name,last_name">
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           <p data-id="Email Address:p" ><label data-id="Email Address:label" data-name="email" class="ctct-form-required">Email Address</label> <input data-id="Email Address:input" type="text" name="email" value="" maxlength="80"></p>
           <p data-id="First Name:p" ><label data-id="First Name:label" data-name="first_name" class="ctct-form-required">First Name</label> <input data-id="First Name:input" type="text" name="first_name" value="" maxlength="50"></p>
           <p data-id="Last Name:p" ><label data-id="Last Name:label" data-name="last_name" class="ctct-form-required">Last Name</label> <input data-id="Last Name:input" type="text" name="last_name" value="" maxlength="50"></p>
           <p data-id="Country:p" ><label data-id="Country:label" data-name="address_country">Select a country</label></p>
           <p data-id="Street Address:p" ><label data-id="Street Address:label" data-name="address_street">Street</label> <input data-id="Street Address:input" type="text" name="address_street" value="" maxlength="50"></p>
           <p data-id="City:p" ><label data-id="City:label" data-name="address_city">City</label> <input data-id="City:input" type="text" name="address_city" value="" maxlength="50"></p>
           <p data-id="State/Province:p" ><label data-id="State/Province:label" data-name="address_state">Select a state/province</label></p>
           <p data-id="Zip Code:p" ><label data-id="Zip Code:label" data-name="address_postal_code">Zip Code</label> <input data-id="Zip Code:input" type="text" name="address_postal_code" value="" maxlength="50"></p>
           <p data-id="Company:p" ><label data-id="Company:label" data-name="company">Company</label> <input data-id="Company:input" type="text" name="company" value="" maxlength="50"></p>
           <button type="submit" class="Button ctct-button Button--block Button-secondary" data-enabled="enabled">Sign Up</button>
           <div><p class="ctct-form-footer">By submitting this form, you are granting: TERC Communications, 2067 Massachusetts Avenue, Cambridge, Massachusetts, 02140, United States, http://www.terc.edu permission to email you. You may unsubscribe via the link found at the bottom of every email.  (See our <a href="http://www.constantcontact.com/legal/privacy-statement" target="_blank">Email Privacy Policy</a> for details.) Emails are serviced by Constant Contact.</p></div>
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   localizedErrMap['shared'] =         'Sorry, we could not complete your sign-up. Please contact us to resolve this.';
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   localizedErrMap['selectcountry'] =     'Select a country';
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<script type='text/javascript' src='https://static.ctctcdn.com/h/contacts-embedded-signup-assets/1.0.2/js/signup-form.js'></script>
<!--End CTCT Sign-Up Form-->

 

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Fax: 617.873.9601
Email: contactus@terc.edu 

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