Registration Form

Yes, I will attend the Chancellor’s Entrepreneurial Achievement Awards!

Wednesday, April 23 2025, 5–7 P.M.
5 p.m. Reception | 6 p.m. Awards Program
Grainger Hall 1310, Plenary Room
975 University Avenue, Madison

First Name*
Last Name*
Title
Organization/Company
Phone number
Email*
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Special Accomodations
Please list any physical accommodations, dietary restrictions, or other needs that require our special attention. (A note to guests: The menu for this appetizer reception is tree nut-, peanut- and shellfish-free, and includes vegetarian, vegan, gluten-free and dairy-free options. Food will be clearly labeled.)
Name
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QUESTIONS?

Contact Mary Carbine at UW–Madison Discovery to Product (D2P) at mary.carbine@wisc.edu or 608-262-5310.