TechBiz Minnesota - Employer Participation Form

You may use this form to register for any or all of the involvement opportunities. All activities are optional and independent of one another.

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* 1. Contact Information

Your Name: *

Business/Institution:

Email Address: *

Phone Number: *

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* 2. Would you be willing to serve as a reviewer of the online project summary submissions? (about at two-hour commitment)

Yes

No

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* 3. Become an event sponsor: Indicate what sponsorship option you prefer. Individual participant registration fee is waived for attendees from a sponsoring company. You will be contacted to further discuss the option you prefer.

Keynote sponsor $1000 (promoted on all materials/websites; onsite banner; introduce keynote)

Scholarship sponsor $500 (promoted on all materials/websites and at designated student presentations)

Team Sponsor (help defer travel costs for teams that need an overnight stay to participate)

Team sponsor $250-500. Indicate sponsorship amount here, $:

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* 4. Pre-Registration. Our participant registration site for TechBiz will be available in January. If you represent a business and plan to attend the event, please check one of boxes below and we will send you a reminder notification and link to the the site when available. The cost for non-student participants will be approximately $25 each.
How many individuals from your company are likely to attend the event on April 5, 2013?

1

2

3

4

5+