The 2010 Marketing Forum - Client Qualification Survey

1. Complete the questions below

THE MARKETING FORUM
Doral Resort, Miami, Florida
April 25-27, 2010
_________________________________________

In order to qualify for complimentary invitation to the Marketing Forum, clients must meet certain criteria.
Please answer the following questions then click the link on the next page to submit your survey for review. It should take 2 minutes.

Once qualified, one of our team members will be in contact with your complimentary invitation, pending space availability.

Question Title

* 1. Please provide your name, company, job title and contact information:

First and Last Name

Company

Job Title

Phone

Cell Phone

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* 2. What industry sector would you describe your company as (insurance, retail, etc.)?

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* 3. Please indicate the number of employees in your organization.

Up to 1,000

1,000 - 1,999

2,000 - 4,999

5,000 - 9,999

10,000 - 19,999

20,000 - 49,999

50,000+

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* 4. Please indicate your organization's annual revenue.

Below $500 million

$500 - $749 million

$750 million - 999 million

$1 billion - $2.49 billion

$2.5 billion - $4.9 billion

$5 billion - $9.9 billion

over $10 billion

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* 5. Please estimate your organization's current annual marketing budget.

Up to $500,000

$500-000 - $1 million

$1 million - $2.49 million

$2.5 million - $2.9 million

$5 million - $9.9 million

$10 million - $19.9 million

$20 million - $49.9 million

$50 million - $99.9 million

$100 million - $149.9 million

$150 million - 249.9 million

$250 million - $299 million

Over $300 million

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* 6. How much of this budget is under your direct control/direct influence?

Up to $500,000

$500,000 - $1 million

$1 million - $2.5 million

$2.5 million - $2.9 million

$5 million - $9.9 million

$10 million - $19.9 million

$20 million - $49.9 million

$50 million - $99.9 million

$100 million - $149.9 million

$150 million - 249.9 million

$250 million - $299 million

Over $300 million

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* 7. To whom do you report?

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* 8. For which geographical areas do you personally have responsibility?

USA - Nationally

USA - East Coast

USA - West Coast

USA - Mid West

Asia

Canada

Europe

South America

Global

Other (please specify)

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* 9. Top 4 issues keeping you up at night

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* 10. Please indicate your areas of responsibility and areas for discussion with Suppliers at the Marketing Forum
MARKETING SECTORS/SERVICES

	Responsible for	Areas for Discussion	Need for specific project 2010/2011
B2B	B2B Responsible for	B2B Areas for Discussion	B2B Need for specific project 2010/2011
Brand Licensing	Brand Licensing Responsible for	Brand Licensing Areas for Discussion	Brand Licensing Need for specific project 2010/2011
Brand Strategy	Brand Strategy Responsible for	Brand Strategy Areas for Discussion	Brand Strategy Need for specific project 2010/2011
Call Center	Call Center Responsible for	Call Center Areas for Discussion	Call Center Need for specific project 2010/2011
Cause Marketing	Cause Marketing Responsible for	Cause Marketing Areas for Discussion	Cause Marketing Need for specific project 2010/2011
Cinema Advertising	Cinema Advertising Responsible for	Cinema Advertising Areas for Discussion	Cinema Advertising Need for specific project 2010/2011
Consulting Services	Consulting Services Responsible for	Consulting Services Areas for Discussion	Consulting Services Need for specific project 2010/2011
CRM	CRM Responsible for	CRM Areas for Discussion	CRM Need for specific project 2010/2011
Custom Publishing	Custom Publishing Responsible for	Custom Publishing Areas for Discussion	Custom Publishing Need for specific project 2010/2011
Design	Design Responsible for	Design Areas for Discussion	Design Need for specific project 2010/2011
Direct Marketing	Direct Marketing Responsible for	Direct Marketing Areas for Discussion	Direct Marketing Need for specific project 2010/2011
Direct Response	Direct Response Responsible for	Direct Response Areas for Discussion	Direct Response Need for specific project 2010/2011
Enterprise Image Library	Enterprise Image Library Responsible for	Enterprise Image Library Areas for Discussion	Enterprise Image Library Need for specific project 2010/2011
Entertainment Marketing	Entertainment Marketing Responsible for	Entertainment Marketing Areas for Discussion	Entertainment Marketing Need for specific project 2010/2011
Experiential/Event Marketing	Experiential/Event Marketing Responsible for	Experiential/Event Marketing Areas for Discussion	Experiential/Event Marketing Need for specific project 2010/2011
Female Demographic Specialization	Female Demographic Specialization Responsible for	Female Demographic Specialization Areas for Discussion	Female Demographic Specialization Need for specific project 2010/2011
Field Marketing	Field Marketing Responsible for	Field Marketing Areas for Discussion	Field Marketing Need for specific project 2010/2011
Full Service Agency	Full Service Agency Responsible for	Full Service Agency Areas for Discussion	Full Service Agency Need for specific project 2010/2011
Hispanic Demographic Specialization	Hispanic Demographic Specialization Responsible for	Hispanic Demographic Specialization Areas for Discussion	Hispanic Demographic Specialization Need for specific project 2010/2011
Integrated Marketing / Sales Promotion	Integrated Marketing / Sales Promotion Responsible for	Integrated Marketing / Sales Promotion Areas for Discussion	Integrated Marketing / Sales Promotion Need for specific project 2010/2011
Management of Client's Current Conferences & Events	Management of Client's Current Conferences & Events Responsible for	Management of Client's Current Conferences & Events Areas for Discussion	Management of Client's Current Conferences & Events Need for specific project 2010/2011
Market Research	Market Research Responsible for	Market Research Areas for Discussion	Market Research Need for specific project 2010/2011
Media Buying / Planning	Media Buying / Planning Responsible for	Media Buying / Planning Areas for Discussion	Media Buying / Planning Need for specific project 2010/2011
Media Owner	Media Owner Responsible for	Media Owner Areas for Discussion	Media Owner Need for specific project 2010/2011
Multicultural Marketing	Multicultural Marketing Responsible for	Multicultural Marketing Areas for Discussion	Multicultural Marketing Need for specific project 2010/2011
New Product Development	New Product Development Responsible for	New Product Development Areas for Discussion	New Product Development Need for specific project 2010/2011
Online Video Production	Online Video Production Responsible for	Online Video Production Areas for Discussion	Online Video Production Need for specific project 2010/2011
Print / Production	Print / Production Responsible for	Print / Production Areas for Discussion	Print / Production Need for specific project 2010/2011
Product Placement	Product Placement Responsible for	Product Placement Areas for Discussion	Product Placement Need for specific project 2010/2011
Promotional Products	Promotional Products Responsible for	Promotional Products Areas for Discussion	Promotional Products Need for specific project 2010/2011
Promotional Television / Cross Promotions	Promotional Television / Cross Promotions Responsible for	Promotional Television / Cross Promotions Areas for Discussion	Promotional Television / Cross Promotions Need for specific project 2010/2011
Public Relations	Public Relations Responsible for	Public Relations Areas for Discussion	Public Relations Need for specific project 2010/2011
Sponsorship	Sponsorship Responsible for	Sponsorship Areas for Discussion	Sponsorship Need for specific project 2010/2011
Sports Marketing	Sports Marketing Responsible for	Sports Marketing Areas for Discussion	Sports Marketing Need for specific project 2010/2011
Technology Solutions	Technology Solutions Responsible for	Technology Solutions Areas for Discussion	Technology Solutions Need for specific project 2010/2011
Trading / Barter	Trading / Barter Responsible for	Trading / Barter Areas for Discussion	Trading / Barter Need for specific project 2010/2011
Translation / Localization	Translation / Localization Responsible for	Translation / Localization Areas for Discussion	Translation / Localization Need for specific project 2010/2011
Word of Mouth / Buzz Marketing	Word of Mouth / Buzz Marketing Responsible for	Word of Mouth / Buzz Marketing Areas for Discussion	Word of Mouth / Buzz Marketing Need for specific project 2010/2011
Youth Marketing	Youth Marketing Responsible for	Youth Marketing Areas for Discussion	Youth Marketing Need for specific project 2010/2011

Other (please specify)

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* 11. DIGITAL SECTORS/SERVICES

	Responsible for	Areas for Discussion	Need for specific project 2010/2011
Ad Tracking	Ad Tracking Responsible for	Ad Tracking Areas for Discussion	Ad Tracking Need for specific project 2010/2011
Behavioral/Contextual	Behavioral/Contextual Responsible for	Behavioral/Contextual Areas for Discussion	Behavioral/Contextual Need for specific project 2010/2011
Content Provider	Content Provider Responsible for	Content Provider Areas for Discussion	Content Provider Need for specific project 2010/2011
Cross Channel Communications	Cross Channel Communications Responsible for	Cross Channel Communications Areas for Discussion	Cross Channel Communications Need for specific project 2010/2011
Custom Media	Custom Media Responsible for	Custom Media Areas for Discussion	Custom Media Need for specific project 2010/2011
Digital Brand Management	Digital Brand Management Responsible for	Digital Brand Management Areas for Discussion	Digital Brand Management Need for specific project 2010/2011
Email Agencies	Email Agencies Responsible for	Email Agencies Areas for Discussion	Email Agencies Need for specific project 2010/2011
Full Service Interactive Agency/Services	Full Service Interactive Agency/Services Responsible for	Full Service Interactive Agency/Services Areas for Discussion	Full Service Interactive Agency/Services Need for specific project 2010/2011
Gaming	Gaming Responsible for	Gaming Areas for Discussion	Gaming Need for specific project 2010/2011
Mobile Marketing	Mobile Marketing Responsible for	Mobile Marketing Areas for Discussion	Mobile Marketing Need for specific project 2010/2011
Online Media Buying/Planning	Online Media Buying/Planning Responsible for	Online Media Buying/Planning Areas for Discussion	Online Media Buying/Planning Need for specific project 2010/2011
Online Video Advertising	Online Video Advertising Responsible for	Online Video Advertising Areas for Discussion	Online Video Advertising Need for specific project 2010/2011
Optimization/Usability	Optimization/Usability Responsible for	Optimization/Usability Areas for Discussion	Optimization/Usability Need for specific project 2010/2011
Performance/Affiliate Marketing	Performance/Affiliate Marketing Responsible for	Performance/Affiliate Marketing Areas for Discussion	Performance/Affiliate Marketing Need for specific project 2010/2011
Rich Media	Rich Media Responsible for	Rich Media Areas for Discussion	Rich Media Need for specific project 2010/2011
Search Engine Marketing/Optimization	Search Engine Marketing/Optimization Responsible for	Search Engine Marketing/Optimization Areas for Discussion	Search Engine Marketing/Optimization Need for specific project 2010/2011
Social Media	Social Media Responsible for	Social Media Areas for Discussion	Social Media Need for specific project 2010/2011
Web Analytics	Web Analytics Responsible for	Web Analytics Areas for Discussion	Web Analytics Need for specific project 2010/2011
Website Design	Website Design Responsible for	Website Design Areas for Discussion	Website Design Need for specific project 2010/2011
Website Development	Website Development Responsible for	Website Development Areas for Discussion	Website Development Need for specific project 2010/2011

Other (please specify)

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* 12. We also hold a Digital Symposium which will take place October 24-26, 2010 at the Phoenician Resort, Scottsdale, AZ.
Would you be interested in receiving information about this event?

No, thank you

Yes, I am interested in attending

Yes, I would like to refer a colleague/peer

(please provide contact information)

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* 13. How did you hear about the Marketing Forum?

Received Invitation

Received e-newsletter, email

Received literature via mail

Attended a previous Forum

Recommended by a colleague from my company (specify below)

Recommended by a colleague from a different company (specify below)

Website

Other (please specify)

Question Title

* 1. Please provide your name, company, job title and contact information:

Question Title

* 2. What industry sector would you describe your company as (insurance, retail, etc.)?

Question Title

* 3. Please indicate the number of employees in your organization.

Question Title

* 4. Please indicate your organization's annual revenue.

Question Title

* 5. Please estimate your organization's current annual marketing budget.

Question Title

* 6. How much of this budget is under your direct control/direct influence?

Question Title

* 7. To whom do you report?

Question Title

* 8. For which geographical areas do you personally have responsibility?

Question Title

* 9. Top 4 issues keeping you up at night

Question Title

* 10. Please indicate your areas of responsibility and areas for discussion with Suppliers at the Marketing Forum MARKETING SECTORS/SERVICES

Question Title

* 11. DIGITAL SECTORS/SERVICES

Question Title

* 12. We also hold a Digital Symposium which will take place October 24-26, 2010 at the Phoenician Resort, Scottsdale, AZ. Would you be interested in receiving information about this event?

Question Title

* 13. How did you hear about the Marketing Forum?

* 10. Please indicate your areas of responsibility and areas for discussion with Suppliers at the Marketing Forum
MARKETING SECTORS/SERVICES

* 12. We also hold a Digital Symposium which will take place October 24-26, 2010 at the Phoenician Resort, Scottsdale, AZ.
Would you be interested in receiving information about this event?