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 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*
Do you have an Administrative Assistant (to assist with arranging travel)? Yes     No
If so, what is the Administrative Assistant's name?
What is the Administrative Assistant's 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
        
Colleague/Peer Reference
Please provide name
Gartner Resource?
Other:

2. Are you currently buying research from:

If Other:

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

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 Other:   

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
Application Integration
BI
Business Process Management
Cloud Computing
Compliance/Risk Management
CRM
Data Center/BCM
Disaster Recovery/Business Continuity
Enterprise Content Management
ERP
IAAS
Mobility/Tablets
Managed Print Services
Networking
Outsourcing/Offshoring
Social Media/Portals/Collaboration
Project & Portfolio Management
SaaS/Managed Services/On-demand
Security
Sharepoint
Storage
Unified Communications
Virtualization
   Desktop
   Server


15. What Storage vendors' products/services do you currently have installed, and which products/services would you consider for purchase in the next year?
  Installed Considered for Purchase
CA
Cisco Systems
CommVault Systems
Dell
EMC
F5
FalconStor
HDS
HP
IBM
Microsoft
NetApp
Riverbed
Sun/Oracle
Symantec/Veritas
Other

16. What Networking vendors' products/services do you currently have installed, and which products/services would you consider for purchase in the next year?
  Installed Considered for Purchase
Cisco Systems
Juniper
Shoretel
HP Procurve
Riverbed
Bluecoat
Aruba
Meru
D-Link
Avaya
Polycom
Brocade
Quantum
Citrix
Other

17. What Security vendors' products/services do you currently have installed, and which products/services would you consider for purchase in the next year?
  Installed Considered for Purchase
Cisco Systems
Juniper
SonicWall
Trend Micro
Websense
Kaspersky
Sophos
Checkpoint
Fortinet
McAfee
Barracuda
Symantec
Other

18. What Server vendors' products/services do you currently have installed, and which products/services would you consider for purchase in the next year?
  Installed Considered for Purchase
Dell
HP
IBM
Sun
Cisco
Apple
Symantec
Other

19. Would you be interested in attending a full-day seminar on Leadership within the Midsize Enterprise Summit?
Yes No

20. Would you be interested in attending a full-day CIO Boot camp within the Midsize Enterprise Summit focused on strategic and tactical best practices?
Yes No

Thank you for your interest in the Midsize Enterprise Summit!