First Name*
Last Name*
Title*
Email*
Company*
Street Address Line 1*
Street Address Line 2
City*
State*
Zip*
Country* Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ashmore and Cartier Islands Australia Austria Azerbaijan Bahamas, The Bahrain Baker Island Bangladesh Barbados Bassas da India Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo, Democratic Republic of Cook Islands Costa Rica Cote d'Ivoire Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern and Antarctic Gabon Gambia, The Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See (Vatican City) Honduras Hong Kong S.A.R. Howland Island Hungary Iceland India Indonesia Iraq Ireland Isle of Man Israel Italy Jamaica Jan Mayen Japan Jarvis Island Jersey Johnston Atoll Jordan Juan de Nova Island Kazakhstan Kenya Kingman Reef Kiribati Korea, South Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R. Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Midway Islands Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palmyra Atoll Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Sudan Spain Spratly Islands Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tromelin Island Tunisia Türkiye Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands Wake Atoll Wallis and Futuna West Bank Western Sahara Yemen Zambia Zimbabwe
Work Phone*
Company URL
How many employees does your company have?* Please select one 40,000 or More 30,000 - 39,999 20,000 - 29,999 10,000 - 19,999 5,000 - 5,999 1,000 - 4,999 500 - 999 250 - 499 100 - 249 50 - 99 Less Than 50
Which ONE of the following BEST describes your principal job function?* Please select one Application Development BI/Data Warehousing Architect Consultant/Integration Corporate/Centralized (CIO/CTO) Management Database Administration Database Development General / Other (eg. systems, network) Management General/President/Corporate/Financial Management (CEO, COO, CFO) IT Architect Messaging Administration Network Administration Other Other IT Staff Other Programmer Analyst/Development Software Architect Software Development Systems Administration Systems Analyst Technical Support Telecom Service Provider Training Web Administration Web Development
Which ONE of the following describes your organization's primary activity?* Please select one Agriculture/Mining/Oil/Gas/Chemicals ASP/SSP/MSP Communications (Local/Long Distance/Independent/Cable) Computer/Data Processing/Information Technology Services Construction/Engineering/Architecture Consulting/Professional Services (Computer Related) Consulting/Professional Services (Non-Computer Related) Education Finance/Banking/Investment Food/Beverage Government Health Care/Pharmaceutical Hospitality/Travel Insurance/Real Estate Manufacturing (Computer Related) Manufacturing (Non-Computer Related) Marketing/Advertising/PR Media/Entertainment/Publishing Networking Services and Technology Non-Profit/Trade Research & Development Retailer/Distributer/Wholesaler (Computer Related) Retailer/Distributer/Wholesaler (Non-Computer Related) Service Provider (Web Hosting/Data/Wireless/Online) Telecommunications Transportation Utilities/Energy VAR/VAD/Systems House/Systems Integrator Other
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