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DES 2021 Registration Form
Register here for the DES 2021 event. Please complete all questions to the best of your ability. If a question does not apply to you or your unable to answer, please put 'N/A'.
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* Indicates required question
Name (Last, First)
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Are you an entrepreneur?
*
Yes
No
Unsure
Business Name
*
Your answer
Business Industry
*
Your answer
I am in the following phases of entrepreneurship:
*
Pre-Launch
Launch
Growth
Mature
Unsure
I understand by pre-registering I will receive a link with additional registration details about the Diverse Entrepreneurship Summit held September 9-11 2021 at Speed Art Museum
*
Yes
No
Overview
Registration is not complete until payment is summited. Please return to DES 2021 page and submit payment.
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