TEDxCharleston 2017 Wait List
RequiredRequired Question(s)

Thank you for your interest in attending the TedxCharleston 2017: Shake It Up, on Wednesday, October 18, 2017 10am - 4pm. Tickets have SOLD OUT, but you can get on our wait list to attend the event by submitting the form below.

We will contact you if additional tickets become available. Thank you for your interest in attending TEDxCharleston!

 
Required 1.
Provide information about yourself.  We will use this information to contact you.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Phone:

2.

Number of tickets required:

1
2
The following is the information we collect on all tickets:
 
Required 3.
Please select what you want for lunch.
Chicken Wrap
BLT Wrap
Vegetarian Wrap
Gluten-Free Vegetarian Salad
Required 4.

I am: 

Female
Male
Required 5.
Affiliation or work (present or past):
Advertising/Marketing
Aerospace
Agriculture
Arts/Entertainment
Design
Education
Financial/Insurance
Government
Health/Medical
Hospitality/Travel
Manufacturing
Media/Publishing
Military
Nonprofit
Real Estate
Retired
Student
Technology
Other  
Required 6.

I am a:

Generation Z (1995- 2006)
Millennial (1980-1995
Generation X (1965-1979)
Baby Boomer (1946-1964)
Silent Generation (1925-1945)
Required 7.

I am:

African American
Asian
Caucasian
Latino/Hispanic
Other  
Required 8.
WHO sings your SHAKE IT UP theme song?
Taylor Swift - "Shake It Off"
OutKast - "Hey Ya" (Shake it like a Polaroid picture)
The Beatles - "Hippy Hippy Shake"
KC and the Sunshine Band - "Shake Your Booty"
The Supremes - "Shake Me, Wake Me"
SBad Company - "Shake It Up"
Elvis Presley - "Shake, Rattle and Roll"
9.

What are YOU doing to SHAKE UP your community or world?

 

50 characters left.
10.
How did you hear about the TEDxCharleston 2017?

 

TEDxCharleston Website
Word of Mouth
Billboard
Social Media
Media (newspaper, magazine, etc.
Event
Other