Please print this form from the website and complete and send it with credit card information or a check payable to "MITEF".
EVENT | NUMBER | PRICE | TOTAL |
---|---|---|---|
Introduction to Business Planning Apr. 2 May 7 Jun. 4 Jul. 9 Aug. 6 Sep. 10 (please check the evening you would like to attend) |
$20 / $20* | ||
Emerging Technologies That Will Change the World Wednesday, June 20, 2001 |
$30 / $50* | ||
*Note: 1st price is for members; 2nd is for nonmembers | |||
I want to join MITEF to support New York's leading organization for entrepreneurs in technology. Please grant me the discounts and privileges of membership for an additional $100. | $100 | ||
TOTAL → |
I am paying by: Check made out to MITEF Mastercard Visa Amex
Name as it appears on credit card _________________________________________________________
Credit Card No. ______________________________________________________ Exp. ____________
Signature ___________________________________________________________________________
Name _______________________________________________________ Title ___________________
Company ____________________________________________________________________________
Address ____________________________________________________________________________
City ________________________________________________ State ________ Zip ______________
Phone _________________ Fax _________________ E-mail __________________________________
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*updates are faxed
Please tell us your professional business category (check the ones that most closely apply):
Financial Services (Corporate/Commercial/Institutional Finance, Investment Banking, Venture Capital)
Corporate Services (Accounting, Law, Consulting, Executive Search, Marketing/Advertising/PR)
Industry (Manufacturing, Telecom, Healthcare/Biotechnology)
Media (Internet/Software, Publishing, Broadcasting)
Other (specify) ____________________________
I own my own business.
I would rather NOT be listed in an Attendance Roster.
MIT Enterprise Forum of New York City - 317 Madison Avenue, Suite 1900 - New York, NY 10017
Telephone 212.681.1112 - Fax 212.286.9036