Enterprise Team Registration

Team Name(required)

Date

First Name(required)

Primary team contact

Last Name(required)

Email Address(required)

Phone(required)

Street(required)

City(required)

State(required)

Zip Code(required)

First Name - Team Member 1

Last Name

Email Address

First Name - Team Member 2

Last Name

Email Address

First Name - Team Member 3

Last Name

Email Address

If you have additional Team Members please email information to Challenge@TheSLab.org

Short Description of your Idea(required)

Our Idea is:(required)

Our Focus is:(required)

Our Team is:(required)

Complete

In need of expertise in Marketing

In need of expertise in Logistics

In need of expertise in Programming

In need of expertise in Business Development

In need of expertise in Coop Development

In need of Legal Services

In need of Accounting Services

Select all that apply.

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I agree to the terms & conditions

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MEIC 2017