JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Engineering Research Symposium Sponsor Registration
Please complete this form if you would like to sponsor the Engineering Research Symposium.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Company/Lab/UM Unit Name
*
Your answer
Main Contact Person First/Last Name
*
Your answer
Main Contact Person Email Address
*
Your answer
Main Contact Person Phone Number
*
Your answer
Level of Sponsorship
*
Choose
Bronze
Silver
Gold
Platinum
Maize
Blue
Size of Company/Lab/UM Unit
*
Choose
Start-up Company/Lab<100 Employees
Small Company/Lab 100-500 Employees
Large Company/Lab 500+ Employees
UM Unit
Donation Amount
*
Please refer to this page in order to see what price bracket you fall into:
https://ers.engin.umich.edu/sponsor/
Choose
$150
$250
$500
$750
$1000
$1500
$2000
$2500
$5000
$10000
Other
Please provide the first name, last name, email and cell phone number for each of your attendees.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Michigan.
Report Abuse
Forms
