1. ABOUT YOU

Title*

Firstname*

Surname*

Job Title*

Company*

Address 1*

Address 2

Address 3

Postcode*

Town/City*

County*

Country*

Telephone*

Mobile

Fax

Email*

Confirm Email*

Main Role*

In the last 2 years have you attended*

Please select at least one option

PPA Conference

Media Pro

Publishing Expo

SIPA events

IPAC (IPN) Awards

None

Other media events (please say which)

Please indicate your preferences

No mail from third party	No telephone from third party
No email from third party	No sms from the organisers

2. ABOUT YOUR COMPANY

Type of business:*

Which markets are you in? (tick all that apply)*

Please select at least one option
Consumer	Business to Business
Regional / Local	Clients or Advertisers
Society, Membership or Association	Supplier

Number of Media Brands In Company*

Number of Employees*

Turnover Range*

Are your media brands available on/as? (tick all that apply)*

Please select at least one option
Print	Web
Mobile	TV/radio
Live events	None-supplier

Is your company a member of: (tick all that apply)*

Please select at least one option
PPA / IPAC / IPN	AOP
AEO	None of these

What are you interested in at the show? (tick all that apply)*

Please select at least one option
Websites/CMS	Mobile/Tablet apps
Email Marketing / Databases	Print & Paper
Circulation & Subscriptions	Live & Virtual Events
Social Media & Networking	Video Production & Marketing
Advertising/Media sales	Learning About What's New
Other (please explain)
Please explain:

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3. REGISTER YOUR COLLEAGUES

After submitting your registration you'll receive login details to update your registration record at any time and add or delete colleagues names. We will contact you soon with details of the workshops and expert 1-1s you can attend; you will be able to manage your bookings for these yourself using your login. Be environmentally friendly; if for any reason you know you cannot attend the show, please change the details to a substitute colleague or cancel your booking so that we do not waste resources sending out badges. Thank you.

By registering for the show you agree to receive the show email newsletter and information about the show by email and post.

Organiser Beckbrook Ltd. Registered in England No. 6997471, 14 Barn Hill, Stamford PE9 2AE

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