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* 1. Participant Name:

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* 2. Participant Email

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* 3. Participant Company:

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* 4. Please select the challenge you and your team will be solving

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* 5. Will you be able to create a team with at least three member company representatives and one end user?

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* 6. I confirm I have reviewed the 10th Anniversary Innovation FAQ and am aware of the commitments necessary to participate.

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