2006 Summit & Awards

 

WTN 2006 Summit

Register to attend the 2006 World Technology Summit as a
GENERAL DELEGATE


 Name, Contact, and Administrative Information:
 First
 
 Last
 
Gender:
   Male Female
Primary Area of Interest:
Company/Organization
 Title
 
 Department
 
Address:
Line 1
Line 2
Line 3
City
State/Province
Zip/Postal Code
Country
Phone numbers:
Primary
Mobile
Other
Email addresses:
Primary
Other
Web site:
  If you have a personal assistant or other contact, please enter that information here:
Name
 Email
 
 Phone
 
Please enter any food preference (Kosher, Halal, Vegetarian, etc.):


 To obtain the substantial "group" (multiple delegates from one organization) discount, registration must occur at the same time. Please select how many other colleagues from your organization will be accompanying you. We will follow-up with you later to gather the additional background information for the additional delegates.
Additional Delegates


For the Summit

Please provide a brief (1-4 paragraphs suggested) biography. This will be presented to other Summit delegates.

 

What question would you most like to see addressed at the Summit?

 
Additional Questions

We will contact you to discuss if you answer "Yes" to any of the following.

1. Would your or your company/organization be interested in potentially serving as a sponsor/partner for the 2006 Summit & Awards?

Yes No

2. Would you or your company/organization be interested in potentially exhibiting/demo-ing your technology in the CTO Showcase exhibit hall at the Summit?

Yes No
Other Invitees

Please list any individuals whom you know personally that the WTN should consider inviting to attend as Summit delegates.

1.
Company Name
Website
Contact Person
Phone
Email
2.
Company Name
Website
Contact Person
Phone
Email
3.
Company Name
Website
Contact Person
Phone
Email
 


IMPORTANT: BY SUBMITTING THIS INFORMATION YOU HAVE MADE CLEAR YOUR INTENTION TO ATTEND THE 2006 WORLD TECHNOLOGY SUMMIT AND ACCEPT THE REGISTRATION FEE PAYMENT OBLIGATIONS. WE PROMISE TO REVIEW YOUR REGISTRATION INFORMATION AS PROMPTLY AS FEASIBLE. WE WILL THEN NOTIFY YOU WHETHER OR NOT A SUITABLE DELEGATE PLACE IS AVAILABLE FOR SOMEONE WITH YOUR RANGE OF EXPERIENCE. IF WE ARE ABLE TO CONFIRM YOUR REGISTRATION, WE WILL THEN REQUEST THAT YOUR REGISTRATION FEE PAYMENT BE MADE BY CREDIT CARD AT THAT TIME.