Register – WEEI DEI Collaboratory

Your Name*
First Last
Organization/ Company
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Email*
Phone*

LinkedIn Profile*
How did your hear about the conference?

IE. Website/blog, Organization, Social Media Platform or Colleague/Co-Worker
IF A COLLEAGUE PLEASE GIVE THEIR NAME SO WE CAN THANK THEM
Are you open to continuing the dialogue with our major sponsors, in a respectful way, after this event?
- Yes
- No
Select Two Tracks:*
- Track 1: Getting Started
- Track 2: Culture Blindspots (isms)
- Track 3: Seeding Talent & Growing Talent

If you are coming with a colleague
First Name Last
Your Colleague's email
Do you have a code?
2021 DEI Collaboratory Conference General Admission
FOR TWO ATTENDEES (You and a colleague)
Price:
2021 DEI Collaboratory Conference General Admission
FOR TWO ATTENDEES (You and a colleague)
Price:
Donation (optional)
(includes donation includes a recording to all three days and a certification)
- Option 1 - $100.00
- Option 2 - $200.00
- Option 3 - $300.00
- Option 4 - $400.00
- Option 5 - $599.00
Total
$0.00
Credit Card*
Card Details
Cardholder Name
Email
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