Gartner CIO Leadership Forum 2010 Registration Application

Gartner CIO Leadership Forum - 2010 Registration Application

Please note: Registration for the Gartner CIO Leadership Forum is open only to CIOs or equivalent-level IT executives who have ultimate responsibility for enterprise-wide (or business-division) IT decisions and budgets:

CIOs, CTOs (or equivalent) and business-unit/regional CIOs from organizations with revenue of $1 Billion+ (CIO surrogates and business-division/regional CIO equivalents may be additionally qualified on their individual IT-budget responsibility/control)
CIOs, CTOs (or equivalent) from organizations with revenue of $200M to $999M (applicants may be additionally qualified on their individual IT-budget responsibility/control)
CIOs, CTOs (or equivalent) from not-for-profit and public-sector organizations or agencies with 1000 employees, or more (applicants may be additionally qualified on their individual IT-budget responsibility/control)
CIO members of Gartner Executive Programs- Attendance at CIO Leadership Forum is complimentary for Executive Programs Members. Complimentary attendance is not inclusive of CIO Delegates. Complimentary attendance, is non-transferable, includes the full-conference fee and does not include any travel-related expenses.
CIOs from technology vendors and consultants who are involved exclusively in their organization’s internal IT/IS operation

Acceptance of all applicants is at the discretion of Gartner. Please complete this preliminary registration form and once your application has been reviewed and approved by Gartner you will be contacted for your payment • preference and full registration details.

Early Bird Price: $2,095 (if payment is received by 22 January 2010)
Standard Price: $2,495
Gartner Client Price: 1 Summit Ticket

Fee includes:
Conference attendance and documentation, planned evening functions and meals.

Please note: All information you provide is strictly for Gartner internal use only and will not be divulged to any third party organization.

*Required Information

*First Name:
*Last Name:
*Job Title:
*Company Name:
*Company Address 1:
Company Address 2:
*City:
*State/Province/County:
*Zip/Postal Code:
*Country:
*Telephone:
*Fax:
*E-mail:
*Company URL:

For your convenience, we can send notices to your Assistant if you prefer:
Your Assistant's Name:
Your Assistant's Telephone:
Your Assistant's E-mail:

*Company Annual Revenue:

*Total # of employees in company/organization/agency:
*Which best describes your firm's business? Select one:	Technology Vendor Non-Technology-Vendor Private Enterprise Government/Public Sector Investor Company Consulting Company None of the Above Other (please specify)
*Of the following profiles, which one best describes your enterprise’s dominant behaviors and adoption profile? Select one profile only.	Profile 1. We invest for future advantage, tend to be leading-edge adopters of technology and tolerate high risk and uncertain payback. Profile 2. We follow established leaders, pursue technology that has been proven and invest when payback is fairly certain. Profile 3. We defend our markets, adopt technology after the mainstream and make decisions that reduce or avoid exposure to risk.
*Annual IT Budget that You Oversee (exclusive of staffing):	Please Specify: corporate-wide business unit
*Number of Employees that You Manage:	Please Specify: corporate-wide business unit
*Years of Experience in Role of CIO or CIO-equivalent:
*To Whom Do You Report in Your Organization:
*Member of Gartner Executive Programs:	Yes No
Gartner Sales Representative Name:
How did you hear about this event?	Gartner Account Manager Email Advertisement Brochure Mailer Other
Special Code: