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Insider Midlands Spark Breakfast 2011 - Where business meets education

Date: Friday 28th January 2011
Venue: University of Birmingham, Great Hall & Beale Room
Event Timings: 7:30am Registration, 8:00am Meeting Commences
Event Enquiries: Claire Winstanley – 0161 907 9747
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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