ASAE & The Center - Springtime Brochure - (Page 13) REGISTRATION 4 Easy Ways to Register: Web: www.springtimeexpo.com / Fax: 202-371-8315 / Phone: 888-950-2723 or 202-371-0940 Mail: The Center for Association Leadership, P.O. Box 75119, Baltimore, MD 21275-5119 REGISTRATION INFORMATION ASAE & THE CENTER MEMBER # FIRST NAME LAST NAME TITLE ORGANIZATION (NO ACRONYMS, PLEASE) STREET ADDRESS CITY COUNTRY PHONE E-MAIL EMERGENCY CONTACT PHONE NUMBER STATE/PROVINCE ZIP/POSTAL CODE FAX NAME FOR BADGE/NICKNAME DESIGNATION (CMP, CAE) 5) What is your primary area of responsibility? Conv/Expo/Mtg Planning Exec Mgt/Strategic Planning/Governance Operations/Adm/Finance Membership Prof Devel/Credentialing Development Gov Relations/Public Policy Corporate Relations Sales Marketing Legal Comm/PR/Pubs HR Intl Affairs Technology Survey/Research Other: 6) What is your organizational scope? Local State/Province Regional National US and Some International US and Canada Combined International Not Applicable *If you require special accommodations to participate, please submit a written description of your needs. Check here if you wish to be excluded from exhibitor mailings. Complimentary Shuttle Services (Virginia only). Please check the appropriate shuttle and time: Departing from Hyatt Dulles: 7:00 a.m. 9:00 a.m. Departing from Springfield Hilton: 7:00 a.m. 7) What is your organization’s annual revenue? Less than $100,000 $10,000,001 - $25,000,000 $100,001 - $500,000 $25,000,001 - $50,000,000 $500,001 - $1,000,000 $50,000,001 - $100,000,000 $1,000,001 - $5,000,000 $100,000,001 + $5,000,001 - $10,000,000 Unknown/No Disclosure 8) What is your organizations membership size? 1,000 or less 25,001-50,000 1,001-5,000 50,001-100,000 5,001-10,000 More than 100,000 10,001-25,000 Not applicable 9) What is the staff size of your organization? 1-5 6-10 11-15 31-50 51-100 101-250 500+ 16-30 251-500 11:30 a.m. 11:30 a.m. 9:00 a.m. DEMOGRAPHIC INFORMATION Please help us collect accurate attendee demographics by answering the following questions. This information is required in order to process your registration. 1) How many years have you attended Springtime? First time 5 - 10 15 - 20 1-5 10 - 15 20 - 25 2) How did you hear about Springtime? Previously attended Industry publication Word of mouth 3) I am employed by a/an: Association Corporation Third-party planning company Association Management company 25 or more 10) If you are involved in the planning of meetings, events or exhibitions, please answer the following: a. Do you hold international meetings ? Yes No If yes, what destinations would you consider? Check all that apply. Europe Asia Caribbean Africa Latin America South America Australia Canada b. Preferred US locations for meetings. Check all that apply. Northeast Northwest Southeast Mid-Atlantic South/Central West/Southwest c. How many meetings does your organization book per year? Annual meeting only 10 or less meetings, plus annual meeting 11–20 meetings, plus annual meeting 21 or more meetings, plus annual meeting d. What is the attendance of your largest meeting? 1–1,000 1,001–5,000 5,001–10,000 10,001–20,000 20,000+ e. When is your next open meeting? Please list month and year. Over Midwest E-mail Received brochure/postcard Ad in METRO Government agency Independent consultant/planner Other 4) What is your role in the purchasing of products and services for your employer? Final decision maker Recommend Significant influence Research/specify http://www.springtimeexpo.com
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