Industry Partner's Day

Registration Form

Please complete the form below to register for the Georgia Tech-COPE Industry Partners' Day taking place on April 23, 2013. You will receive an e-mail confirming your registration details once your information is submitted. For questions or more information please contact Jason Martin at 404-385-3138.

Contact Information

First Name *This question is required.

Last Name *This question is required.

Title *This question is required.

Company, University, or Organization Name *This question is required.

Street Address

Apt/Suite/Office

City

State

Zip

Country

Email Address *This question is required.

Phone Number

Fax Number

Mobile Phone

URL

Do you need hotel accommodations?We have a rolling room block for the group at the Georgia Tech Hotel and Conference Center. You are welcome to make your reservations by calling a Reservations Specialist at the hotel directly at (404) 838-2100 and "GT – COPE Rolling Block".

Alternatively there are other hotels within a close distance to campus including the The Hilton Garden Inn and Homewood Suites by Hilton and Atlanta Marriott Suites Midtown.

If you need any help or assistance with a hotel reservation or directions, please contact Jason Martin at (404) 385-3138.

Do you or your group members plan to present a poster at the Research Showcase (networking & poster session)?

What is the title of your Poster?