Power Puck Beta Test

I understand that filling out this form does not guarantee I will receive a cord. I understand that there is no warranty or value for exchange or return in regards to the E-Nano Power Puck Beta Cord / E-Nano Power Puck and shipping and handling fees may be required. I understand neither my last name, mailing street and city address, phone number, or email address will be shared or used in any way other than to receive my E-Nano cord. I understand I may be contacted by phone or email to verify my mailing address in the event it is invalid.

I understand the information in section "How do you use you E-Nano?" may be published and shared with any current and future Epickai / EpicVape affiliates. Epickai / EpicVape has my permission to use my data for internal research and development, training and marketing purposes. Information such as my first name and all information in section "How do you use you E-Nano?", may be published online or in print marketing for EpicKai / EpicVape and it's affiliates (future and present).

I agree to be contacted by EpicKai / EpicVape by "preferred method of contact" within 30-90 days of delivery of a E-Nano Power Puck Cord / E-Nano Power Cord / E-Nano Dimmer Cord or any other power cord sent as a result of this form. I agree to fill out an follow-up survey to this form within 30 days of delivery.