REACh Company Registration
Thank you for participating in REACh 2019! Please have your company's main point of contact fill out the form below.

Date: January 10th-11th, 2020
Time: Friday 6:00PM - Saturday 8:00PM
Location: Jacob's Hall, UCSD - 9500 Gilman Dr, La Jolla 92029
Deadline to sign up: December 15, 2019

For any questions or concerns, REACh out to SHPE Co-Technical Chairs or VP External:
Amanda Breton: anbreton@ucsd.edu
Melissa Pante: mpante@ucsd.edu
VPE - Laura Gutierrez: lag044@ucsd.edu
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Company Name *
Primary Contact Name *
This contact will be the designated person/liason between a representative from REACh and your company representatives who will be attending REACh.
Primary Contact: Phone Number *
Primary Contact: Email Address *
Sponsorship Level
Clear selection
How many company representatives will be attending? *
Gold: Min 3 - Max 6 representatives, Silver: Min 2 - Max 4 representatives, Bronze: Min 1 - Max 2 representatives
Will you be dropping off tabling materials in advance or the day of the event? *
To coordinate dropping off materials in advance, please contact Laura Gutierrez at lag044@ucsd.edu
Any dietary restrictions? (Ex: Vegan, Pescatarian) *
How many parking permits will you need? *
Are you interested in donating prizes? *
Is there any additional information we should be aware of?
For returning companies, is there any feedback?
Submit
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