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Thank you for your interest in attending the Midsize Enterprise Summit Fall 2024.
Please note:
Due to limited seats available and event qualifications, your registration does not guarantee participation.
For more information about attending, please contact
Alexis Girot
.
Please complete the following form thoroughly in order to register. Your answers will help in constructing your event experience.
* = Required Field
Email Address
*
Email Address
I agree to receive telephonic & electronic communications from The Channel Company, The Channel Company contractors, and The Channel Company sponsors. I understand I can withdraw my consent at anytime. The Channel Company treats your information confidentially per our
Privacy Policy
.
*
First Name
*
First Name
Last Name
*
Last Name
Title
*
Title
If other
*
If other
Organization Name
*
Organization Name
Organization Street Address
*
Organization Street Address
Organization City
*
Organization City
Organization State/Province
*
Organization State/Province
Organization Country
*
Organization Country
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
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Bahrain
Bangladesh
Barbados
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Belgium
Belize
Benin
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Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burma Burundi
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Cameroon
Canada
Cape 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
Cuba
Cyprus
Czech Republic
Darussalam
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federation
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
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Heard and Mc Donald Islands
Honduras
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Hungary
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Indonesia
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Iraq
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Japan
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Kiribati
Korea
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Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
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
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa (Independent)
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen Islands
Eswatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican CityState (Holy See)
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Organization Postal Code
*
Organization Postal Code
Organization Website
*
Organization Website
Business Phone
*
Business Phone
Business Phone Extension
Business Phone Extension
Cell Phone (This will only be used by our team or travel agent).
*
Cell Phone (This will only be used by our team or travel agent).
Do you have an administrative assistant (to assist with arranging travel & logistics)? If yes, please provide their name & email address.
Do you have an administrative assistant (to assist with arranging travel & logistics)? If yes, please provide their name & email address.
Have you attended an event with us in the past 2 years?
*
Yes
Yes
No
No
If my request to attend the Event is accepted, I hereby grant The Channel Company permission to use my name, likeness, image, voice, and/or appearance as such may be embodied in any pictures, photos, video recordings, audiotapes, digital images, and the like, taken or made in connection with the Event. I agree that The Channel Company has complete ownership of such pictures, etc., including the entire copyright, and may use them for any purpose consistent with good business judgment.
These uses include, but are not limited to illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional materials in any medium now known or later developed, including the Internet. I acknowledge that I will not receive any compensation for the use of such pictures, etc., and hereby release The Channel Company and its agents and assigns from any and all claims which arise out of or are in any way connected with such use.
*
MESF24
*
MESF24
Attendee Category
Hosted Attendee
Total Cost
$
0.00