MITX - Massachusetts Innovation & Technology Exchange
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Join - University Membership

University Information
*University:
*Address:
Address2:
*City:
*State:
*Zip code:
*Phone (i.e. 6175550000):

Fax (i.e. 6175550000):
*URL (i.e. http://www.mitx.org):
Blog (i.e. http://www.mitx.org):
*University Description (to appear in directory, limit 750 characters):
 

Primary Contact for Membership Management
*First name:
*Last name:
*Job title:
*Job description:
*Phone (i.e. 6175550000):

Mobile (For event alerts and updates via text, i.e. 6175550000):
*Email (Your email will be used as your login):
*Email preference:
*Password:
*Password Confirm:
Check here if address is same as entered above, else fill out below
*Address:
Address2:
*City:

*State:
*Zip code:
 I do not want my name to appear in the membership directory. Please use the alternate below.
First name:
Last name:
Job title:
Phone (i.e. 6175550000):
Email:
(your primary contact email will be used for login, not alternate.)
*Where did you hear about MITX:
(if more than one, select your main influence)

 
I am interested in the following:the following:



I am interested in these types of speaking opportunities (select all that apply):
 

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MITX Awards

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