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October 2012 - Technology Masterclass Registration form

Please note that by registering your attendance to the One Wimpole Street Technology Masterclass you are giving your permission to be photographed and/or videoed throughout the event which may be used for future promotional material.

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* 1. Please kindly complete the information below and we will then confirm your registration.
Thanks very much and we will be in touch shortly

First name *

Surname *

Company *

Job title

Business telephone *

Email *

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* 2. What market sector do you represent?

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* 3. What is your annual event budget?

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* 4. What topics would you like to see covered in future Masterclass modules?

Other (please specify)

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* 5. Do have a twitter account? If so tell us your "handle"