Women's Leadership Event Entrepreneur Segment - Participation Application

Are you a female manufacturer with a product you'd like to present to the Sixth Annual Next Generation Manufacturing Women's Leadership Event attendees ?

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* 1. If so, please provide your contact info below.

Name:

Company

Title

Email

Phone

Website

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* 2. Please provide a description of your product below.

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* 3. Please indicate what gave you the inspiration to create this product?

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* 4. Please indicate your resource needs?

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* 5. Please indicate where you are currently manufacturing your product?