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Made in the Midlands Awards 2011

Date: 1st November 2011
Venue: Ricoh Arena, Phoenix Way, Foleshill, Coventry, CV6 6GE
Event Enquiries: Kate Marshall – 0161 907 9754
Sponsorship Enquiries: Richard Carey – 0121 204 1490

Please note: Fields marked with * are compulsory fields and must be completed.

Title * -- Select -- Mr Mrs Miss Ms Doctor

Name *

Surname *

Position *

Company Name *

Type of Company * Accountants Architects Chemical Construction/Property Consultants Distribution/Retail Economic development Electronics Energy Industry Engineering Estate Agents Finance/Venture Capital Food Hotels/conferencing Information Technology Lawyers Local Government Manufacturing Marketing /media Medical Motors Recruitment Servicing Industry Stockbrokers Surveyors Telecoms Training & education Transport Travel & leisure Other

Address Line 1 *

Address Line 2

Town/City *

County

Postcode *

Phone *

Email *

My question to the panel

Free Trial to Insider Magazine

If you would like to receive a free trial to Insider magazine, please ensure you fill out the "Form Completed By" and "County of Birth" fields, or we will not be able to process the request.

I would be interested in a free 6 month magazine subscription to Midlands Business Insider

Form Completed By
Required for auditing purposes

Please state the County where you were born (E.g. Dorset, Cumbria or Greater Manchester).
Required for auditing purposes. (Note – If you were not born in the UK you must tell us the Country where you were born).

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