iMedia Online Retail Summit 2016 - Request an Invitation

Online Retail Summit 2016 Application Form

iMedia Online Retail Summit 2016
May, Gold Coast, Australia

Thank you for your interest in attending the iMedia Online Retail Summit, May 2016, Gold Coast, Australia. Please complete all information accurately below:
First Name *
Last Name *
Email *
Work Phone *
Mobile Phone
Your Position:
Company *
Position *
I am a *
Please specify *
No. of Retail Stores:
No. of Employees *
Approx. Company Turnover *
Approx. Annual Online Revenue *
Annual Digital Spend *
Purchasing Role *
Your Recommendations:
Who in your organisation is ultimately responsible for your online retail/multichannel strategy?
Recommend a senior colleague or contact that we should invite to iMedia:
List the top 4 suppliers that you are currently working with:
(e-commerce platform providers, digital agencies, email marketing, social media, search companies, logistics & fulfilment companies)