Cleantech Start-Up Registration
As a cleantech start-up you are eligible for discounted registration pricing for the 2023 MEIA Cleantech Conference. Please complete the form below to confirm your eligibility. Once MEIA staff have reviewed your application, we will be in touch to finalize your registration. If you have any questions, please give us a call at 204-783-7090.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Company Name
*
Organization Size (Employees)
*
1 - 9
10 - 50
51 - 100
101 - 500
500+
Please provide some information on your company.
*
Please describe how your business qualifies as a start-up.
*
Please select the number of attendees:
*
Please Select
1
2
3
4
5
Please list your attendees. Please provide their full name, email address, and dietary restrictions.
*
Full Name
Email Address
Dietary Restrictions
Attendee #1
Attendee #2
Attendee #3
Attendee #4
Attendee #5
Are you interested in participating in our Mentor for a Day program as a mentor? Please include your field of work so we can best match you with a student.
*
Would you like to be added to MEIA's mailing list to receive updates on MEIA news, programming, and events?
*
Yes
No
MEIA will take photos and videos of attendees throughout the conference. These photos and videos are for MEIA use only and may appear on the MEIA Website, newsletter, conference brochures, social media outlets, or other future MEIA promotional material. By virtue of your attendance, you agree to usage of your likeness in such media.
*
By virtue of my attendance, I agree to the usage of my likeness in such media
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