First Name:*
Last Name:*
Title:* Pick One Application Developer Application Development Management Business Analyst Business Consultant Business Management (LOB, Director, or Other) Business/Data Analysis Chief Software Architect DBA Data Architecture Data Warehouse Administration Director/Manager of Compliance/Risk Management Director/Manager of Security Enterprise Architect Enterprise Integration/EAI Management Executive Management (CEO, COO, Senior VP, VP) Executive Management (CIO, CTO, CSO, CISO) Financial Management (CFO, Controller, or other) IT Consultant / Systems Integrator IT Management Middleware Management Product Manager Project Manager SOA Architect Sales/Marketing Security Administrator Security Analyst Security Auditor Senior IT Management (VP, Director) Systems and Network Admin Telecommunications Manager
Role in Purchasing:* Pick One Specify, recommend, authorize or purchase products Approve services and manage budgets Manage the business / technical implementation Develop strategies / alliances Manage marketing, advertising and promotions Other
E-mail Address:*
Phone:*
Company:*
Address:*
City:*
State:*
ZIP Code:*
Country:* Pick One United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ascension Island Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cap Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia/Hrvatska Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvina) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See (City Vatican State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Island Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay US Minor Outlying Islands Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands (British) Virgin Islands (USA) Wallis and Futuna Islands Western Sahara Western Samoa Yemen Yugoslavia Zambia Zimbabwe
Annual Revenue:* Pick One $1 Billion and greater $500 Million - $999 Million $100 Million - $499 Million $25 Million - $99 Million Less Than $25 Million
Industry:* Pick One Aerospace Agriculture/Forestry Automotive Business Services/Consultant (non-computer) Communication Carriers/Transportation/Utilities Computer Manufacturer (hardware, software, etc...) Computer Related Retailer/Wholesaler/Distributor Computer services/consulting Computer/Technology reseller Construction/Architecture/Engineering Data Processing Services Education Electronics Federal Government (including Military) Financial Services Healthcare/Health services Insurance Internet Access Providers/ISP Legal Manufacturing consumer goods Manufacturing/Industrial (non-computer related) Marketing/Advertising/Entertainment Oil/Gas/Mining/Other natural resources Publishing/Broadcast/Media Real Estate Research/Development Lab Retail/Wholesale Service Provider (ASP, ESP, Web Hosting) Software/Technology Developer State/Local Government Travel/Hospitality/Recreation/Entertainment VAR/VAD/Systems or Network Integrators Web Development/Production Wholesale/Retail/Distribution (non-computer)
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