MGCS & Coulter Forum Registration

May 16 & 17, 2017 - attend two premier venture capital investment events combined at one great
venue in Ann Arbor, Michigan.

Under Registration Type below, please select the appropriate registration fee (ranging from
$195-$395 for early registration). For Coulter Members / Guests, please complete BOTH
the Registration Type box and populate the requested Coulter Member / Guest Event Code box.

An automated email will confirm your registration.

Online registration closes at 11:59 p.m. EST Friday, May 12. Onsite registration opens at 10 a.m. on
Tuesday, May 16 at the Marriott Resort lobby.

Questions? Please email mnickson {at} or call 734.615.4424.

First Name*
Last Name*
Company Name*
Address 1*
Address 2
Work Phone*
E-mail Address*
Registration Type*
Coulter Member / Guest Event Code
Alumnus * Yes   No

I have read and understand the Terms and Conditions* Yes   No
Terms and Conditions
Cancellation Policy:
Before May 2, 2017 registrations will be fully refunded. Between May 2 and May 12 a $200 refund will be provided. After May 12, 2017 no monies will be refunded.


MGCS/Coulter May 16 & 17

Marriott Resort at EagleCrest
Ann Arbor, MI