M&IT Agency Challenge 2017 - Supplier - register your interest

This form is for organisations wishing to register their interest for the M&IT Agency Challenge 2017 which will take place on 20-21 July 2017.

Places are very limited and if you would like to be contacted with more information on how you can be one of the selected suppliers for the 2017 event, then please complete your details below.

Thank you for registering your interest and your account manager will be back in touch with you shortly.

Question Title

* 1. Your details

Title

First name

Last name

Job Title

Email Address

Company name

Company address

Telephone Number

Question Title

* 2. Have you attended a previous M&IT Agency Challenge?

Yes

Question Title

* 3. What would you like to do?

I would like to secure a presentation slot for my organisation - Single team member entry at £4,950

I would like to secure a presentation slot for my organisation/partner organisation - Two team member entry at £6,950

I would like to request more information at this stage