Economic Fuel | Registration Packet - Registration Form
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2009 Registration Form
Economic Fuel: The Humboldt County Student Business Challenge

Team Name:
_______________________________________________________________________


Brief description of business:_______________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________


Brief statement of non-student member’s involvement, role and proposed ownership: _______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

 Industry Type

  ___Biotech/Life Sciences
___Consumer Products
___Distribution/Transportation
___Education
___IT/ Internet
___Manufacturing
___Media/Entertainment
___Non-Profit
___Retail
___Services
___Telecommunication
___Other: ___________






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