ONLINE APPLICATION

Please complete the application now to qualify for the Midsize Enterprise Summit in the region nearest you.

If qualified, you will receive an email with your username and password to complete your Guest Registration Form.

* Required Information
* Please select the Event that you are geographically closest to.
       Select a Regional Event
      
       		 Select a 2010 Summit
      
       
* Are you new to the Midsize Enterprise Summit?
Yes, I am new     No
Salutation Mr.    Ms.    Dr.
First Name*
Last Name*
Title*
Organization*
Street Address*
City*
State*
Zip*
Telephone*
Fax
E-mail Address*
Web site*

Please take a few minutes to answer the following questions so we can better serve you:

1. How did you learn about Midsize Enterprise Summit?
CIO Association of Canada
         		E-mail
Enter priority code
Colleague/Peer Reference
Please provide name 		Phone
Print or Electronic Media (Newsletter/Magazine) Gartner Resource?
Browsing the Web Everything Channel Resource?
Other Vision Event(s)? Other: 

2. What best describes your organization's primary industry?

Other

3. What best describes your job function?

Other

4. Who do you directly report to within your organization?

Other

5. How many people are employed in your entire organization?
1-99 1,000-2,499
100-249 2,500-4,999
250-499 5,000-9,999
500-999 More than 10,000

6. How many people are employed in your IT Department?
1-5 21-50
6-10 50-100
11-20 100+

7. What is the total number of enterprise seats in your organization?
1-49 500-999
50-99 1,000-1,499
100-249 1,500-2,499
250-499 More than 2,500

8. How many of your work force are mobile/remote users?
1-49 500-999
50-99 1,000-1,499
100-249 1,500-2,499
250-499 More than 2,500

9. What is your organization's total annual revenue?
Less than $50 million $500 million - $749 million
$50 million - $99 million $750 million - $1 billion
$100 million - $249 million More than $1 billion
$250 million - $499 million  

10. What is your organizations annual IT budget, excluding payroll?
Less than $1 million $50 million - $100 million
$1 million - $5 million $100 million - $500 million
$5 million - $10 million More than $500 million
$10 million - $50 million  

11. What is your role in IT purchase decisions?
Final Decision-Maker
Decision Influencer
Recommend Products/Services

12. What percentage of your IT budget, including hardware, software and services, is spent with a channel partner (i.e., reseller, service provider, consultant)?

13. Briefly describe any big projects or implementations you are currently undertaking and what the objectives are.

* 14. Please help us in better matching you with your peers and vendors by answering what solutions you have interest in investing in within the next 12-18month period:
High Medium Low
BI
Business & Technology Issues
Collaboration
Compliance/Risk Management
Computing Infrastructure
CRM
Enterprise Content Management
ERP
IT Management
Linux/Open Source in production environment
Mobile Workforce
Networking
Outsourcing
Project & Portfolio Management
SaaS/Managed Services/On-demand
Security
Storage
Unified Communications
Multifunctional Print Products
Business Process Management
Virtualization
   Desktop
   Server

 
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Thank you for your interest in the Midsize Enterprise Summit!