STEM Community Forum Registration
May 23, 2013
Buffalo Museum of Science
1020 Humboldt Parkway
Buffalo, NY 14211

* 1. Your last name?

* 2. Your first name?

* 3. What is the company/organization you are representing?

* 4. What is your title?

* 5. What is your phone number (with area code)?

* 6. Your email address?

* 7. Will you be bringing a guest?

* 8. What is the name and title of your guest?

* 9. Will you be staying to listen to the Girl Forum?
The Girl Forum will take place from 3:30-4:30pm in the auditorium at the Buffalo Science Museum. Girls will have the opportunity to ask questions of a panel of women engaged in STEM careers.

Thank you. We look forward to seeing you at the event.