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MIT Enterprise Forum Fall 2010 Global Broadcast Viewing Sites

1. Viewing Site Participation and Contact Information

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* 1. For which broadcast do you plan to participate as a viewing site?

Sept 21st - "Lab to Market: Success is Not Final, Failure is Not Fatal"

Oct 13th - "Bringing Intelligence to the Electric Grid"

Both

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* 2. What is the name of your organization?

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* 3. Please enter the requested information for the main point of contact for your viewing site.

Name

Email address

Work phone

Mobile phone (for contact on night of live program emergency only)

Website

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* 4. If there is an additional contact person or persons for your viewing site, please enter their name and contact information in the box below.

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* 5. How does your viewing site plan to take part in the broadcast?

Live web streaming video

Archived web streaming video

Ordering a DVD copy

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* 6. If you plan to participate in both broadcasts but will have a different method of viewing for each of them (ie, live for Sept, delayed for Oct), please provide that information here. If the method is the same for both, you may leave this question blank.

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* 7. Is this the first time you have participated as a viewing site for an MIT Enterprise Forum broadcast?

Yes

No