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Check all that apply to you:

	Prospective high-tech tenant/client firm
	Site selector/real estate broker
	Venture capitalist/angel investor
	Media representative
	Government official
	Other:

Choose any of the following:

	I want to meet with a representative of Purdue Research Park (to discuss leasing incubator space, accessing Purdue Gateways Program services, etc.)
	I want a guided tour of Purdue Research Park and its flagship incubator, the Purdue Technology Center.
	I want to receive Innovation Express, Purdue Research Park’s monthly e-newsletter.
	I want to learn how to become a Purdue Research Park affiliate company.
	I want to receive a packet detailing Purdue Research Park property available to eligible technology-based companies for sale or land lease.

	Please fill out the information below to receive a Purdue Research Park property packet.
	Title: Company: Mailing Address:

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