EMPOW[HER] Mixer RSVP Form

We’re delighted you would like to join us to celebrate the launch of The Discovery’s EMPOW[HER] Collective for Women & Girls in STEM on Thursday, September 25 · 5:30 – 7:30pm. Please use the form below to let us know you’re planning to attend.

Attendee Information

Name(Required)

First Last

E-mail address(Required)

Phone

I am a(Required)

STEM Professional

STEM Educator

Undergrad Student

Graduate Student

Retired

Other

Company(Required)

School/College(Required)

STEM area of expertise

E-mail Opt-in(Required)

Yes, please keep me informed by e-mail of The Discovery’s EMPOW[HER] Collective for Women & Girls in STEM. You can opt-out at any time.

Would you like to bring a guest?

Yes

No

Guest Information

Guest’s Name(Required)

First Last

Guest’s e-mail address(Required)

Phone

My guest is a(Required)

STEM Professional

STEM Educator

Undergrad Student

Graduate Student

Retired

Other

Guest’s Company(Required)

Guest’s School/College(Required)

Guest’s STEM area of expertise

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