To support this community-building, we are excited to recognize those organizations sending 5 or more representations.

Please submit the below form form (once you have a delegation of at least 5 attendees) and we will contact you with more information.

Group Name

Type of Group

Space (makerspace, hackerspace, biospace, FabLab or other)

Event (local Make Faire or maker event producers)

Organization (Business, NonProfit, Education Orgaization)

Group Point of Contact Name

First Name

Last Name

Group Point of Contact Email Address

Group Point of Contact Phone Number

(###)

###

####

Group Attendee #1

First Name

Last Name

Group Attendee 2

First Name

Last Name

Group Attendee #3

First Name

Last Name

Group Attendee #4

First Name

Last Name

Group Attendee #5

First Name

Last Name

Group Attendee #6

First Name

Last Name

Group Attendee #7

First Name

Last Name

Group Attendee #8

First Name

Last Name

Group Attendee #9

First Name

Last Name

Group Attendee #10

First Name

Last Name