Sign-up Form

Ready to Support HyperStream! It's easy! Just submit the information requested below online. We'll be back in touch soon!

Contact Information
Main Contact:
Title:
Company:
Address 1:
Address 2:
City:
State:
Postal Code:
Phone: (xxx-xxx-xxxx)
Fax: (xxx-xxx-xxxx)
E-mail:
Other Information
Yes! My company will support HyperStream.
Yes! I will share this info with colleagues who could recruit Ambassadors.
Yes! I have identified employees who would be a great team of Ambassadors.
Yes! My company would like to be matched with another TAI member company so we can work together to support a local HyperStream school.
Preferred Partnering Company:
Yes! My company and Ambassadors would like to work with a specific school.
School Name:
School Contact (if known):
Title:
If you don't have a preference, we can match you with a local school.
Yes! We will attend the mandatory training session on the following date:
	Mon, Aug. 11, Des Moines, 1:30 – 4:30 p.m. Tues, Aug. 12, Mason City, 9:00 a.m. – noon Wed., Aug. 13, Des Moines, 9:00 a.m. - noon Thurs., Aug. 14, Cedar Rapids, 9:00 a.m. – noon Thurs., Aug. 14, Cedar Falls, 1:30 – 4:30 p.m.

Thank You For Investing in Iowa's Future Technology Leaders!

We Can't Do This Without You!

Questions or Send Reply to: Leann Jacobson, TAI, 303 Locust Street, Suite 175, Des Moines, IA 50309; phone 515-280-7700; e-mail: info@technologyiowa.org ; fax 515-280-7701

"Program Developed by the Technology Association of Iowa Educational Foundation"