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Design ReGeneration Educator Registration

Design ReGeneration Educator Registration
Please fill out form below to register yourself as a Design Educator for the Design ReGeneration Competition. Once submitted you will be contacted with further information.
* indicates required


  Design Educator Information
First Name:
Initial:
Last Name:
Title:
E-mail Address:
Alternate E-mail Address:
Work Phone:
Mobile Phone:
Fax:
  University Information
University Name:
Website:
Design Department Phone Number:
Street Address:
.
City:
Postal/ZIP Code:
State/Province:
Country:
  Participating Students
Please supply the names of all students that will be participating in the competition.


By clicking “Submit” you agree to the Terms and Conditions of the Design ReGeneration Competition.
Submit
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