Information on the EXPERIENTIAL Innovation Conference

This form must be completed by each individual attendee (there is no bulk input).

EXPERIENTIAL Innovation Conference Badging

THIS FORM IS FOR REALITY HACK SPONSORS ONLY

As a special perk to existing 2025 Reality Hack sponsors, we offer complimentary full day tickets ($550 value) to the EXPERIENTIAL Innovation Conference according to the following schedule: Ecosystem Tier : (1) ticket Tier 1: (1) ticket Tier 2: (1) ticket Tier 3: (2) tickets Tier 4: (3) tickets Tier 5: (4) tickets Startup-in-Residence Status: Add (1) additional ticket to sponsor tier

BADGE INFORMATION

Name

First Name

Last Name

Optional Honorific

Name of Your Company, Institution, or Organization:

Professional Title

A list of conference attendee names (including their company and professional title) may be published.

Do not publish my name in the attendee list.

LinkedIn Profile or Professional Website

http://

PROFILE PHOTO

WHY DO WE ASK FOR YOUR PHOTO? To facilitate secure event check-in and enriched networking, we will be using AUR+A, an AI-powered augmented reality badge and business card. AUR+A is GDPR Compliant in the US and EU. Data is encrypted, securely stored in AUR+A's EU or US-based cloud and is never shared. Users can delete their data from the AUR+A app at any time. AUR+A does not record nor scrape the internet. If you choose not to upload a photo, we will make arrangements for an alternate check-in with verification using your government-issued photo ID. We are committed to respecting your privacy choices and providing a secure experience at our event.

AUR+A Opt Out

Do not include me in the AUR+A app.

TICKETING and SPONSORSHIP

If you opt to make a purchase on this form, an organizer will reach out to you directly with a link for payment.

Optional Add-on

Additional Full Day Attendee Ticket - $550 - Includes brunch, beverages, charcuterie reception, multicourse dinner, and Rising Stars Reception.

Conference Sponsorship - $5,000 - Includes up to 4 Full Day tickets, company branding on event materials, activation table at event with option to distribute promotional items. Sponsorships are subject to approval by MIT Office of General Counsel.

Food Allergies and Accessibility Considerations

Phone for Emergency Contact

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EXPERIENTIAL Innovation Conference Badging

EXPERIENTIAL Innovation Conference Badging EXPERIENTIAL Innovation Conference Badging

EXPERIENTIAL Innovation Conference Badging