Venture Acceleration Workshop
Event Registration
Four Saturdays - Sept 26, Oct 3, Oct 10, Oct 17
Seton Hall University, South Orange, NJ
Venture Acceleration Workshop
This intensive, four-Saturday workshop is an opportunity for start up teams to advance their implementation and shorten time to market.

Contact the NCIIA if you experience technical difficulties with this registration form: 413-587-2172 or email info@invention2venture.org. For questions about the workshop please call Judith Sheft, Associate Vice President, Technology Development, NJIT. (973) 596-5825.
*First Name:
*Last Name:
*Your Email:
Honorific:
Position (Job Title):
*Institution (Company):
If your institution is not listed in the
pulldowns above, please enter it here:
           
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Industry/Status:
*Address:
*City:
*State:
*Zip Code: -
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*Telephone:
Fax:
Website:
About Your Startup:
What is the name of your startup?
Please provide a brief summary about your startup opportunity (500 words or less).
About Your Team:
Team Member 1
Please provide the full name, address, phone number, email and a brief bio for team member 1 (250 word max)
Team Member 2
Please provide the full name, address, phone number, email and brief bio for team member 2 (250 words max)
Team Member 3
Please provide the full name, address, phone number, email and brief bio for team member 3 (250 words max)
Team Member 4
Please provide the full name, address, phone number, email and brief bio for team member 4 (250 words max)
Registration:
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Check
Make payable to: NCIIA
Mail to: NCIIA, 100 Venture Way, Hadley, MA 01035
Purchase Order
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(Last 3/4 digits on the back of card.)
(All participants) I agree to the photo and video release terms below
Photo and video release
I hereby grant the North Jersey Partners, NJIT and Seton Hall University, and the North Jersey Partners, NJIT and Seton Hall University hereby accepts, a non-exclusive, perpetual license to use my name and image for promoting the North Jersey Partners, NJIT and Seton Hall University and their mission, including without limitation, use in websites, print media, television advertisements, and any other media or in any other manner as determined by the North Jersey Partners, NJIT and Seton Hall University. (If you do not wish to grant this license to the North Jersey Partners, NJIT and Seton Hall University, please call Judith Sheft, Associate Vice President, Technology Development, NJIT. (973) 596-5825.