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Siemens Regional User Summits — Event Registration

* Denotes a required field
1. Name*
  Email*
  Company *
  Title
  Address *
  City *
  State *
  Zip *
  Phone*
  Company internet address
2. Are you a current JUST-US Member?* Yes No  
3. Do you participate in the Siemens Customer
Reference Program?*		 Yes No  
4. Direct or Indirect Partner Customer Direct Partner
  Partner Company:
5. Account / Channel Account Manager's Name:
6. Who referred you to the Siemens Regional
Users Summit?
7. Which portions of the regional event will you attend?
Evening Reception and Exhibit (Day 1)
Executive Keynotes (A.M. Day 2)
Educational Breakouts (P.M. Day 2)
8. Region Event(s) you will be attending:
  Southern  (Grapevine Convention Center on
April 14 – 15)
  Western (Disney’s Paradise Pier Hotel on
April 17 – 18)
  Central (Ritz Carlton Hotel Dearborn on
April 22 – 23)		  
  Eastern (Philadelphia Marriott Downtown on
May 1 –2)		  
    For hotel information please see our FAQs.
9. Please select the top three solutions your enterprise is interested in (Select NO MORE than three):
  HiPath Systems
  Contact Center Solutions
  Innovations in Wireless and Video
  Unified Communications (OpenScape / HiPath Xpressions)
  Solutions for Small-Medium Business (HiPath OpenOffice, HiPath 2000, HiPath 3000)
  OpenScale Services (Professional and Managed Services portfolio)
  Phones and Clients (optiPoint, OpenStage devices)
  HiPath Trading
  Siemens Professional Training Institute (Education)
  Siemens Business Partner Offerings
  Other
10. Do you wish to meet with a Siemens executive while attending your regional event?
Sales Executive Service Executive Product Executive / Subject Matter Expert
  If yes, please provide a brief description of the requirement to assist with scheduling
 
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11. Would you be interested in participating at the Siemens Regional Users Summits?
Customer Panel Presentation Break-out Presentation Speaker (Best Practice / Case Study Topic)
  If yes, please provide a brief description of your potential presentation topic
 
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12. Additional Comments:
 
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