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Registration Information
Price:
On Demand - $50
Includes:
Access for 3 On Demand Days - Conference Dates: November 2 - 4
Virtual Auditorium: Keynote, Lessons from Leaders, Awards & Presentations
Access to On-Demand for 120 days post event
Tour Virtual Exhibit Hall
Registration Type
*
On Demand ($50.00)
Name
*
Title/Position
*
Email
*
Company Name
*
Phone Number
*
Country
*
United States
Canada
----------------------
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia (Hrvatska)
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Republic of
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Address
*
City
,
State
and
ZIP Code
*
State
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AA
AE
AP
Demographics
Management Level:
*
(Choose One)
Pres/CEO/COO/Principal
VP/Directors
CTO
Senior Manager/Manger
IT/Engineer
Analyst
Consultant/Academic
Other
Is your company principally:
*
(Choose One)
End User: Manufacturing
End User: Retailer
End User: Distribution
End User: Logistics
End User: 3PL
End User: Warehouse/DC
End User: Medical/Healthcare
End User: Other
Components/Parts/Software Provider
Robotics Solution Provider
Systems Integrator
Integrator (design or install robotic systems
Academic
Student
Investment/Financial
Consultant
Association
Other
Job Function:
*
(Choose One)
Executive Management (C-Level, Owner, Principal,)
Supply Chain Management
Operations Management
Distribution/Warehouse Management
Purchasing/Procurement
System Integration/Implementation
Designer/Developer
Engineering
Manufacturing/Production
Sales/Marketing/Business Development
Software Development
Academia/Research
Investor
Consultant/Industry Influencer
Other
What is your primary role in product / service acquisition?
*
(Choose One)
Authorize
Buy
Recommend
Specify
None
Over the next 12 months, what does your company plan to spend on NextGen technologies?
*
(Choose One)
under $10,000
$10,000 - $50,000
$50,001 - $100,000
$100,001 - $500,000
$500,001 - $1,000, 000
over $1,000,000
What is your companies primary business?
*
(Choose One)
Food/Beverage/Tobacco
Consumer Goods Mfg.
Textiles/Apparel Mfg.
Paper/Printing Mfg
Chemicals/Pharmaceuticals Mfg.
Plastics/Rubber Mfg.
Primary Metals Mfg.
Fabricated Metals Mfg.
Industrial Machinery Mfg.
Computer/Electronics Mfg.
Electrical Equipement Mfg.
Aerospace Mfg.
Furniture Mfg.
Other Manufacturing
Wholesale Trade
Retail Trade
3rd Party Logistics Provider
Transportation/Warehousing Services
Business/Consulting Services
Other
Terms
*
Cancelation Policy: Registration cancellation before October 1, 2021 will receive 50% refund of the registration fee. After October 1, 2021 no refunds will be permitted. You may substitute your registration up until the conference start on November 2, 2021.
Privacy Policy: By submitting this form, you agree that Peerless Media may share your information with our sponsors. We may also send event-related messages, but you will always have the opportunity to opt-out.
I have read and agree to the terms above.
Running Total
$50.00
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Total
$50.00
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