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Insider Midlands Directors Forum 2011

Date: Monday 21st March 2011
Venue: Hotel Du Vin, Birmingham Church Street, B3 2NR
Time: 5:30pm registration,  7:30pm finish with opportunity for networking afterwards.
Event Enquiries: Geraldine Lester – 0161 907 9753
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 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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