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Young Women's Conference in STEM Exhibitor/Speaker Form
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Name
*
Your answer
Institution
*
Your answer
Phone number
*
Your answer
Email address
*
Your answer
What role would you/your institution like to have at the Young Women's Conference?
*
Exhibitor
Break-out Speaker
Required
Exhibitors: what will you be presenting at the YWC?
Should be hands-on and interactive!
Your answer
Alternate contact person name
Your answer
Alternate contact person email address
Your answer
How many colleagues will be exhibiting with you?
Your answer
Do you or any of your colleagues have a preference, sensitivity or allergy to food?
*
(if none, enter N/A)
Your answer
Please let us know of your requirements.
(i.e. access to power, water, etc.)
Your answer
How many tables will you need?
*
Your answer
Anything else that you would like to add?
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