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The 2011 Marketing Forum - Client Qualification Survey

5.

THE MARKETING FORUM
Doral Resort, Miami, Florida
May 1-3, 2011
 _________________________________________

In order to qualify for complimentary invitation to The Marketing Forum, clients must meet certain criteria.

The agenda and program will also be developed around your top issues and areas for discussion so it is important to be as thorough and accurate as possible in your responses.

Please answer the following questions then click the link on the next page to submit your invitation request for review. Thank you!

1.Please provide your name, company, job title and contact information:(Required.)
2.What industry sector would you describe your company as (insurance, retail, etc.)?(Required.)
3.Please indicate the number of employees in your organization.(Required.)
4.Please indicate your organization's annual revenue. (Required.)
5.Please estimate your organization's current annual marketing budget.(Required.)
6.How much of this budget is under your direct control/direct influence? (Required.)
7.To whom do you report?(Required.)
8.For which geographical areas do you personally have responsibility?(Required.)