Quinnipiac University GAME Forum XI

Students

Faculty

Professional

Select type of primary registrant

Primary Attendee Prefix

Primary Attendee First Name

Primary Attendee Last Name

Primary Attendee Email

Primary Attendee Phone (Cell Phone Preferred)

University Name

Company Name

Primary Attendee Mailing Address 1

Primary Attendee Mailing Address 2

City

State

Postal/Zip Code

Country/ Province if outside of U.S.

Are you from the United States?

Yes

What is your home state?

What is your home country?

Does your school want to participate in the optional portfolio management competition?

Yes

Advisor Name (faculty who competition application will be sent to)

Advisor Email

What is your gender?

Are you and Undergraduate or Graduate Student?

Undergraduate

Graduate

What is your anticipated year of graduation?

What is your major?

Other Please specify

What industries are you most interested in?

Other Please specify

How did you hear about the GAME Forum?

Other Please specify

Discount Code

How many additional attendees you want to register?

What type of attendee you want to register?