New Customer Registration Form

Syro Startup Connect Registration 2026

McCormick Place, Chicago

Saturday, July 11, 2026 2:00-5:00 PM

^{_{Note: This is only application to admit. General Convention registration is mandatory. Your seat will be confirmed via email.}}

^{_{Appreciate your understanding as we have only 250 seats}}
Section 1: Attendee Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number*
Format: (000) 000-0000.
E-mail*
example@example.com
LinkedIn Profile URL
Did you register for Syro Malabar Convention yet?*

YesNo
Interested in registering for $750 convention ticket with stay (4 per room allocated)*

YesNo
Section 2: The "Who Are You?"
Which best describes you?*

Aspiring Entrepreneur / Have an IdeaFounder (Existing Business/Startup)Medical Professional (Physician/Nurse looking to Innovate)Investor / VC / AngelCorporate Executive / ProfessionalStudent
Industry Focus*
Section 3: For Founders & Builders
Startup / Company Name
(Optional)
Website URL
(Optional)
Current Stage
(Optional)
Are you interested in pitching at the "Syro Shark Tank"?

Yes, send me application details.No, just watching
Section 4: The AI & Innovation Interest
What is your primary goal for this summit? (Check all that apply)*

Finding a Co-Founder or PartnerLearning about AI tools for businessSeeking Investment / FundingNetworking with MentorsGeneral Inspiration
Are you interested in joining SyroConnect? Sub-Label: A nationwide initiative dedicated to fostering entrepreneurship, mentorship, and professional growth within the Syro-Malabar community.*

Yes, I would like to join the network.No, not at this time.
Should be Empty:

Syro Startup Connect Registration 2026

Section 1: Attendee Information

Section 2: The "Who Are You?"

Section 3: For Founders & Builders

Section 4: The AI & Innovation Interest