Magnet Release Form
Please complete this Magnet Release Form to document and authorize the release of magnets to the requester.
Requester Full Name
*
First Name
Last Name
Requester Email Address
*
example@example.com
Requester Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Organization Name
*
Date of Release
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Magnet Type
*
Please Select
Neodymium
Ceramic
Samarium Cobalt
Alnico
Other
Quantity of Magnets
*
Intended Purpose of Use
Delivery Method
*
In-person pickup
Courier/shipping
Submit Magnet Release
Should be Empty: