Lyles Center :: International Innovation Workshop

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First Name*

Middle Initial

Last Name*

Email Address*

Primary Phone Number*

Secondary Phone Number*

Country*

Company

Mailing Address*

City*

State/
Province*

Zip*

Job Title*

Company Name*

Company Phone Number*

Company Fax Number*

Company Address*

City*

State/
Province*

Zip*

Tentative Arrival*
(mm/dd/yyyy)

Tentative Departure*
(mm/dd/yyyy)

Number
of people
to attend*

Will you need an interpreter
to assist workshop attendees?

No Yes

I would like information on the following workshops:

Building New Economy Companies for Growth and Success

Applications of New Technology to Agriculture

New Designs for Contruction in Transportation Systems

Applications of Information Systems

Using Technology in Criminal Investigations

Testing Your Business Idea for Market Potential

How to Write a Business Plan for Venture Capital Funding

How Venture Capital is Formed and Acquired by Entrepreneurs

Advances in Education: Applications of Technology to Innovative Learning

Please provide additional information on:

Lodging & transportation

Travel documents to the U.S.

Other

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