iMedia Brand Summit 2015 - Request an Invitation

Brand Summit 2015 Application Form

REGISTER INTEREST
iMedia Brand Summit 2015
7 – 9 September, Gold Coast, Australia

Thank you for your interest in attending the iMedia Brand Summit, 7 – 9 September 2015, at the Intercontinental Sanctuary Cove Resort, 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 Employees *
Approx. Company Turnover *
Annual Digital Spend *
Purchasing Role *
Your Recommendations:
Who in your organisation is ultimately responsible for your branding strategy?
Recommend a senior colleague or contact that we should invite to iMedia:
List the top 4 suppliers that you are currently working with: