The Utah Entrepreneur Challenge Registration Form

Please fill out the form below to register for the 2009-2010 competition. The registration deadline is January 29, 2010 at 5:00pm. Please register by this date to be eligible to compete in the UEC. If you have further questions, please contact competition director Brittany Walker.

Team Name
Product/Service Category
Primary Contact
First Name
Last Name
Phone (Including area code)
University/College Attending
Student ID Number
Email Address
Status	Graduate Undergraduate
Major or Department
Secondary Contact
First Name
Last Name
Phone (Including area code)
Email Address
Other Team Members Names
Teammate 1 Name
Teammate 1 School
Teammate 2 Name
Teammate 2 School
Teammate 3 Name
Teammate 3 School
Teammate 4 Name
Teammate 4 School
Teammate 5 Name
Teammate 5 School
Notes Use this space if you have any additional notes you would like submitted with your registration.

Please verify that all of your information is correct. Click the button below to register for UEC 2010!