Chai & Business Registration
Please fill in your details below. Fields marked with
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are required.
Select the event date you'd like to RSVP for.
*
Only Wednesdays are available; past Wednesdays are not shown.
First Name
*
Last Name
*
Email
*
Phone Number
*
United States
Job Title / Designation
Company Name
Primary Skills and Expertise
Passionate about
LinkedIn URL
Indicate specific areas you can mentor under Professional / Business / Personal goals
Food Preferences
*
Please Select
Vegan – No animal products (no meat, dairy, eggs, or honey)
Vegetarian – No meat, but may include dairy
Non-Vegetarian – Includes Eggs, meat, poultry, and/or seafood
Are you interested in being a speaker?
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Yes
No
Would you be interested in joining us as a guest speaker on our podcast?
Yes
No
Topic Name
Comments (if any)
I agree that my information may be used to manage my event registration and send event-related updates.
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I would like to receive future updates and event announcements from CogentIBS.
Your information will only be used for the purposes stated above and in accordance with our
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