MIT Enterprise Forum of the Great Lakes -- Event Regiatration

Name

Phone

Fax

Company

Title

E-Mail

	Sign me up for the following event
		Do You Have What it Takes to be an Entrepreneur? Wednesday, March 16, 2005 5:30pm
		Energy Summit Wednesday, April 20, 2005
		Entrepreneur Case PresentationsLive Broadcast from MIT - Topic TBD Wednesday, June 1, 2005
	I am registering at least one day in advance and I will pay $20 per person at the door
	I am a paid member of MIT Enterprise Forum of the Great Lakes (free admission)
	I am a pre-registering student and will pay $5 per person at the door with school ID
	I would like to serve as a Corporate Sponsor for the event indicated above
	Please call me regarding event sponsorship

You may submit your registration in one of two ways:

Call Barbara Sakis Mon / Tues / Fri a.m. at 248.583.4110 x123 or Wed / Thurs / Fri p.m. at 248.887.6136

Press the button below to submit your completed form electronically to MIT Great Lakes