BSIC Working Group Half-Day Registration Form--
Event Timing: Tuesday, June 11th 2016, 8:30am-1:00pm
Event Address: Microsoft Center 11 Time Square New York, New York 10036
Contact us at
Email address *
Name *
Your answer
Email *
Your answer
Organization *
Your answer
Link to Your Organization's Website
Your answer
Select Working Group(s) You Wish to Join *
Briefly describe your work/interest in Blockchain as it relates to social impact *
Your answer
Where are you or your organization on your Blockchain journey? *
What is the core challenge you are facing relating to your work/interest in Blockchain for social impact? *
Your answer
What do you hope to gain or accomplish from your BSIC Working Group? *
Your answer
Would you be willing to have a 15min call with BSIC staff to better assess your needs and goals? If Yes, please select your availability time below and we will follow up with a scheduling email
Tuesday, May 28th
Wednesday, May 29th
Monday, June 3rd
Tuesday, June 4th
Wednesday, June 5th
Thursday, June 6th
Friday, June 7th
9am-11pm EDT
11pm-1pm EDT
1pm-3pm EDT
3pm-5pm EDT
A copy of your responses will be emailed to the address you provided.
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