First Name:
Last Name:
School Name:
Major:
E-mail:
Telephone:
Are you:	An undergraduate student
	A graduate student
Are you interested in pitching your product or venture?	Yes
	No
Conference fee for students: Free for CMU students; $25 for students; $20 for YII members and students at YII University Affiliates. Fee includes all materials and a pizza dinner on Friday. How would you prefer to pay?	Cheque (please mail to Young Inventors International, 4733 Centre Ave., Apt. 7C, Pittsburgh, PA 15213, USA; do not forget to include your name on the cheque)
	Online (PayPal, credit card)
Conference fee for BrainBuzz (for non-students only): $25. How would you prefer to pay?	Cheque (please mail to Young Inventors International, 4733 Centre Ave., Apt. 7C, Pittsburgh, PA 15213, USA; do not forget to include your name on the cheque and write "BrainBuzz" in the note field)
	Online (PayPal, credit card)