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You are registering for a booth to present at the "That's Brilliant" event occurring December 13, 2012 from 6:30 PM to 8:30 PM at the ECHO Lake Aquarium and Science Center. There is no charge for access to a booth. You will be contacted to confirm a booth is available. Space is limited. By submitting this form you are confirming that you will not be presenting any confidential information at this meeting.

Your name:

Company Name (if Applicable)

Invention Name or Service

Email

Phone Number

Very short description for our marketing of what you will present at your booth (maximum 500 characters):


What was the motivation for your invention? (maximum 500 characters):


Security Code:   21495
Please Input The Above Security Code
(In Red)



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