Personal Information
Title
*First Name *Last Name
Organisation
*Address 1
Address 2
City
*Country
* Zip/Postcode
*Telephone
Fax
*Email
*Confirm email
Demographic Questions
*My Job Title is? President/CEO/ChairmanSenior/Executive Vice PresidentVice PresidentDirectorManager/Account ExecutiveEducator/Professor/TeacherStaff MemberOther/Not Listed
*My Primary Job Function is? ACCT Management /Client SVSAdvertisingAnalysisBusiness Planning/DevelopmentCatologerCirculationConsultant/FreelancerCopywriter/Editorial
*Expected Marketing expenditure in the next 12 months? under $500,000$ 500,000 - $999,999 $1,000,000 - $4,999,999$5,000,000 - $9,999,999$10,000,000
*What role do you play in purchasing Goods and services? Final saySpecify RecommendNo role
*What is the primary activity that best describes your firm? AgenciesBusiness to Business Catalog/Mail OrderConsumer Products/ServicesFinancial ServicesInternetList/DatabaseNot For ProfitPublishingTeleservicesOther
*In what capacity do you support the marketing process? Supplier of Goods/ServicesUser of Goods/Services
*Have you ever attended an Andy Owen presentation in the past? YesNo
Payment And Order
*Bank Transfer
*Cheque
The Direct Marketing Associationof South Africa, trading as Special Projects First National Bank, The BouldersBranch No. 250 856 Acct. No. 621-144-150 12
Ticket Number
*R3,150-00 Plus Vat if purchased before 31st August 2009*R3,500-00 Plus VAT if purchased after 31st August 2009
Total Value R
