1. ABOUT YOU
Title
*
Dr
Prof
Mr
Mrs
Ms
Miss
Other
Please specify:
Forename
*
Surname
*
Job title
*
Company
*
Address 1
*
Address 2
Address 3
Town
*
County
*
Postcode
*
Country
*
-- Select country --
United Kingdom
USA
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
Azerbaijan
Azores
Bahamas
Bahrain
Balearic Islands
Bangladesh
Barbados
Benelux
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
British Indian Ocean
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Cayman Islands
Central African Rep.
Chad
Chile
China
Christmas Island
Cocos Island
Colombia
Comoros
Congo
Corsica
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Dem. Rep. of the Congo
Democratic Peoples Rep. of Korea
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
European Union
Falkland Islands
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Territories
French West Indies
Gabon
Gambia
Gaza and KhanYunis
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia (FYR)
Madagascar
Madeira
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldavia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherland Antilles
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
New Zealand Island Territories
Nicaragua
Niger
Nigeria
Norfolk Island
Northern Mariana Islands
Norway
Oman
Other
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Republic of Congo
Republic of Korea
Reunion
Romania
Russia
Rwanda
Sabah
San Marino
Sao Tome and Principe
Sarawak
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Sandwich Islands
Spain
Spanish North African Territories
Spitzbergen
Sri Lanka
St Helena
St Kitts and Nevis
St Lucia
St Pierre and Miquelon
St Vincent and Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Tibet
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
UAE
Uganda
Ukraine
Uruguay
US Virgin Islands
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Wake Island
Wallis and Futuna Islands
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Telephone
*
Mobile
*
Email
*
Confirm Email
*
Your main role:
*
-- Select --
Publisher / General Manager
Event Organisation
Commercial / Ad Sales
Marketing
Editor
Production
HR / Training
Finance
Owner/MD
Sales
Consultant
Supplier
In the last 2 years have you attended:
*
Please select at least one option
PPA conference
IPAC Awards
Publishing Expo
Media Pro
SIPA events
Scottish PPA awards
None
If other (please specify):
Please tick if you would prefer not to receive:
Mail from our partners
Emails from our partners
Calls from our partners
SMS from the show organisers
2. ABOUT YOUR COMPANY
Type of business:
*
-- Please select --
media owner (publisher, event organiser)
supplier or service
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:
*
-- Please select --
1-2
3-5
6-10
11+
None - supplier
Number of employees:
*
-- Please select --
1-5
6-20
21-50
51+
Turnover range:
*
-- Please select --
Up to £1m
£1m-£5m
£5m-£10m
£10m-£20m
Over £20m
Prefer not to say
Which media? (tick all that apply)
*
Please select at least one option
Digital media (web,mobile)
Live Events
Broadcasting (radio, TV)
Print
None - supplier
Is your company a member of: (tick all that apply)
*
Please select at least one option
PPA / AOP / IPAC
SIPA
AEO
None of these
What major business issues are you facing?
3. REGISTER YOUR COLLEAGUES
Number of colleagues you would like to register:
4. PAYMENT METHOD
Confirm your place instantly by booking securely with a credit card via Google Checkout. You'll receive a full VAT invoice by email.
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Google Checkout (credit card)