Direct Marketing Summit - The Premier Online Event for Direct Marketers

Wednesday, January 25, 2012

2–5 PM EST

Live Virtual Conference

The Direct Marketing Summit is excited for you to participate in this event coming January 25, 2012. We look forward to sharing insightful seminars and exclusive direct marketing content with you. The Direct Marketing Summit and
Worldata Research will keep you informed on the latest event updates.

Please fill out the registration form below to be reviewed for exclusive,
free registration and attendance to this live, virtual conference.

Direct Marketing Summit Registration Form:

Fields marked with an asterisk* are required.

* First Name:
* Last Name:
* Email Address :
(Note: This must be a business address at a corporate domain. All other email addresses will not be considered for attendance.)
* Phone :
* Company Name:
* Street Address Line 1:
Street Address Line 2:
* City:
* State/Province:
* Zip Code/Postal Code:
* Company URL:
* Country:
* Please select one of the following to best describe your company’s principal business:
* Please select one of the following to best describe your job function:
* Please select which one of the following to best describe your job title:
* Please select your level of purchasing power for direct marketing media:
* Please select how many employees work at your organization:

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Need help? Please call us at (800) 331-8102, Ext. 222 or email us at info@directmarketingsummit.com

For sponsorship opportunities, please email us at sponsorship@directmarketingsummit.com

info@directmarketingsummit.com • www.directmarketingsummit.com

Hosted by Worldata Research | 3000 N. Military Trail, Boca Raton FL 33431-6321 | Phone: 800 331-8102, Ext. 222 | Fax: 561 368-8345

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