BIX - Registration

Register for the Boston Independence Exchange

Prices

Early Registration (available until February 1st): $60
February 1st - May 1st: $70
After May 1st: $80

First name:
Last name:
Address Line 1:
Address Line 2: (optional)
City:
State:
Zip Code:
Email Address:
Phone Number:
Role:	Lead Follow Both
I want to partake of the midnight buffet at Blues Cafe on Saturday night. Yum: (additional $10)
How did you hear about BIX? (optional)
General comments: (optional)

If you click submit, you are affirming that either you, as a participant in the Boston Independence Exchange, or your legal guardian if you are a minor, recognize and acknowledge there is risk associated with participating in the exchange activities and you are physically fit to do so. You waive and release all claims, liabilities, actions, damages, costs or expenses of any nature whatsoever for injuries you, as the participant, might sustain, known or unknown, arising out of participation in the exchange. You also agree to abide by all Boston Independence Exchange and venue policies and regulations.

Total: $80