Checking this box signifies that you have read, understood, and agree to the
2009 Donald W. Reynolds Governor's Cup Rules*.

* Nevada's Center for Entrepreneurship and Technology reserves the right to make the final decision assigning each team to the appropriate graduate or undergraduate category.

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Team Member #1

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Team Member #2

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Team Member #3

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Team Member #4

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Team Member #5

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First Name*:

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Department*:

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Phone Number*:

Mailing Address*:

City*:

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