31 May 2010 Mobile Monday Taipei Survey

1. Full Name:

Full Name:

2. Company (please include position):

Company (please include position):

3. E-Mail:

E-Mail:

4. Contact Number:

Contact Number:

5. Industry: Please select

Industry: Please select Mobile Software Developer

Content Provider

Organization/Association/Government

Venture Capitalist

Consulting/Market Analyst

Press/Media/Advertising/PR

Device Manufacturer

Telecom/Internet Service provider

Other

6. How do you know about MobileMonday Taipei?

How do you know about MobileMonday Taipei? Through a friend/coworker

Media

Receive invitation

Member of Organization (AmCham/OMIA/EuropeCham)

MobileMonday Taipei website

Other (please specify)

7. I hereby authorize MobileMonday Taipei to handle the data which I have given above in administrative purposes for the organization of the MobileMonday events. I want my data to be exclusively used for MobileMonday organization purposes and I do not allow any other use of them, nor any disclosure. I can modify my data at any time, and ask to delete them by writing to the e-mail address scott-AT-mobilemonday-taipei.com. I understand that in case of my missing consent, my registration to MobileMonday Taipei will not take place.

I hereby authorize MobileMonday Taipei to handle the data which I have given above in administrative purposes for the organization of the MobileMonday events. I want my data to be exclusively used for MobileMonday organization purposes and I do not allow any other use of them, nor any disclosure. I can modify my data at any time, and ask to delete them by writing to the e-mail address scott-AT-mobilemonday-taipei.com. I understand that in case of my missing consent, my registration to MobileMonday Taipei will not take place. Yes