Entrepreneurship – Enterprise 8 Registration Form
Each student / student team who wishes to enter must submit this form on or before
December 11, 2009
. An email notification will be sent to the faculty advisor once the entry is received.
Items with an
*
indicate a required field.
Principle Contact (Faculty Advisor)
*
College/University
*
Address Line 1
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Phone
*
Email
*
University Federal Tax ID Number
*
Business Plan Name
*
Brief description of business
*
Team Member 1 Name, Email, and Class Standing
Team Member 2 Name, Email, and Class Standing
Team Member 3 Name, Email, and Class Standing