Ten80 VIP Registration

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Please complete this registration form to register for the VIP Event on Sept. 25, 2019 at the Michigan International Speedway.

The VIP Reception will be held from 9:00 - 10:00 am.

The Race Day event:
Sept. 25, 2019
9:00 am - 1:00 pm
Michigan International Speedway
12626 US-12, Brooklyn, MI 49230

Email *

First and Last Name *

Company/School/Organization you represent? *

Where did you receive your VIP Invitation? *

email from MiSTEM Regional Director

Social Media (Twitter, Instagram, Facebook...)

Found it on the MiSTEM Website

from a Local School District or Intermediate School District representative

a Current Ten80 Team member or coach

Other:

Required

Do you intend on attending the VIP Reception from 9:00-10:00 am? *

Yes

Maybe

Do you intend on staying for the Race Day Events? *

Yes

Maybe

Are you interested in being a Judge at the Event? *

Yes

Maybe

Will you be staying for lunch? *

Yes

Maybe

Send me a copy of my responses.

Submit

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