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Information Week 500
Redefining IS: We Are the Business
Registration Form
To Register:
  • PHONE: 1-800-452-4433 (US Only), outside US call 1-805-298-3333
  • MAIL: Print and complete this form and send your payment to:
    (make check payable to InformationWeek)
    InformationWeek Registrar
    26524 Golden Valley Road, Suite 401
    Santa Clarita, CA 91350
  • FAX: Print and complete this form and fax to InformationWeek
    Registrar at 1-805-298-4388
  • ELECTRONIC: Complete this form and hit "Register"
Registration Fee:
Early Registration (prior to August 15) is $1,150.
After August 15, registration fee is $1,250. 

Select all that apply. (Press the CTRL key and continue to press
the left mouse button.)
Registrant Information
First Name:
Last Name:
Badge Name:
Company:
Title:
Address:
City:
State:
ZipCode:
Phone:
FAX:
E-mail address:
Companion Name:

Registration Questions 

Company Size

 10,000+
 5,000 - 9,999
 1,000 - 4,999
 500 - 999
 100 - 499
 
<
100
Annual Revenue

 $25 Billion+
 $1 Billion - $24.9 Billion
 $500 Million - $999 Million
 $100 Million - $499 Million
 $10 Million - $99 Million
 
<
$10 Million
IS Budget

 $10 Million+
 $5 Million - $9.9 Million
 $1 Million - $4.9 Million
 $500,000 - $999,999
 $100,000 - $499,999
 
<
$100,000
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