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Midlands Breakfast 2012

Date: Thursday 26th January, January 2012
Venue: Walsall Football Club, 5 Bradford Street, Walsall WS1 1NX
Event Timings: 7.30am for 8am start. Finishes around 9am, with opporunity with networking afterwards.
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.

By completing this form you are registering your interest to attend the event. However, this does not automatically result in a confirmed place. Those that successfully obtain a place at the event will be issued with a confirmation email ten days before the event date.

Newsco-Insider reserves the right to forward names and addresses of attendees to event sponsors.

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 4 month 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 4 month magazine subscription to Midlands Business Insider

Form Completed By
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Please tell us the name of the first school you attended
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