Organize a Technology and Revolution Convergence

Thanks for volunteering to organize a convergence! Please fill out the info below and one of our organizers will get back to you for more information.
Please indicate which city, state and country you would like to organize the convergence.
Please tell us about yourself and why you want to organize a convergence. And, if your convergence is open to the public, please include the complete address and a public email address or phone number for people to contact if they want to participate.
When do you want to schedule the convergence?