Americas User Groups

Salutation*-- Please select --Mr.MissMrs.Ms.Dr.Prof.

First Name*

Last Name*

Title*

Job Role:*-- Please Select --AssistantBusiness AnalystBusiness Management (Manager, Director, VP)ConsultantExecutive Management (CEO, CFO, COO)IT AnalystIT ArchitectIT DBAIT Developer/EngineerIT Leadership (Director, VP, CIO)IT Management (Manager, Sr. Manager, Group Leader)Member of the Board of Directors/Supervisory BoardOtherPartner

Company*

Industry*-- Please Select --AssociationsAutomotiveBankingChemicalsConsumer GoodsEducationEnergyFood / BeveragesGovernmentFederal GovernmentState and LocalHealthcareInsuranceIT, Software & Computer HardwareLogisticsManufacturingMedia / EntertainmentMetals / MiningOther ServicesPharmaceuticalsProfessional ServicesPublic ServicesReal EstateRetailTelecommunicationTravel / TransportationUtilities

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Phone:*

Address 1*

Address 2

City

State or Province*-- Please select --International - Outside USAAlabamaAlaskaAlbertaArizonaArkansasBermudaBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNova ScotiaOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandPuerto RicoQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest IndiesWest VirginiaWisconsinWyoming

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Are you interested in presenting a customer case study?*-- Please Select --YesNoNA

Are you planning to attend the baseball game social outing after the meeting?YesNo