XChange Public Sector Registration Page
June 15-17, 2011
Sawgrass Marriott, Jacksonville, FL

For more information please contact CT Thomas at 949-223-3634 or ct.thomas@ec.ubm.com or Tracy Fischer at 516-562-5337 or tracy.fischer@ec.ubm.com

To qualify to be a hosted attendee, the attendee must be a decision-maker within their organization and their organization must have a minimum annual revenue of $5 Million and be actively selling hardware or software products to the public sector.

Please note: Due to limited seats at the event, your registration does not guarantee attendance.

•Required Information
•First Name:
•Last Name:
•Job Title:
•Company Name:
•Address Line 1 :
Address Line 2 :
•City:
•State:
•Zip:
•Telephone:   Ext: 
•Cell Phone:
•Email:
•Website:
Which of the following markets segments are of interest to your organization:
•First Choice:
•Second Choice:
•Third Choice:
•To what degree are you responsible for building the vendor partnerships and alliances for your company:
•Have you ever attended a multi-day XChange event in 2011, 2010, 2009 or 2008?
•Does your company have a practice area/division focused on the government sector?
•Are you part of this practice area?
•What percent of your total revenue is derived from selling into the following markets? (Please note: must add up to 100%)
Federal Government %
State/Local Government %
Education %
Healthcare %
Corporate Business %
•Please tell us which vertical markets you target: (Please hold down the Control key to select multiple answers)
 
•Which of the following technologies do you provide? (Please hold down the Control key to select multiple answers)
 
•What are your entire firm's approximate gross annual sales?
(Example: $5.5 Million)
•What is the number of employees in your entire organization (including all divisions, branches, and subsidiaries)?
•What year was your company established?
•What territory does your company cover?
•What percent of your total revenue is derived from each of the following? (Please note, total must add up to 100%)
Hardware Sales: %
Software Sales: %
Services/Support Sales: %
•Does your company hold a GSA?
•Is your company on a GWAC?
•Which (if any) contract vehicles does your company hold (please hold down control key to select multiple answers)?
Which of the following agencies does your company currently work with?
Federal:
Department of Agriculture
Department of Interior
Department of Commerce
Department of Defense
Department of Labor
Department of Education
Department of State
Department of Energy
Department of Transportation
Department of Health and Human Services
Department of Homeland Security
Department of Veterans Affairs
Department of Housing and Urban Development
Environmental Protection Agency
Environmental Protection Agency
Other:
State & Local Government:
Administration and Finance (includes Revenue/Tax)
Health
Human Services
Transportation
Public Safety
Criminal Justice
Public Works
Natural Resources
Other:

•Which of the following Vendors does your company currently work with (please hold down control key to select multiple answers)?
•Please identify your company's primary and secondary distribution partners.
Primary Distributor
(Select One)		 Secondary Distributor
(Select All)		  
Arrow
ASI
Avnet
Catalyst/Telecom
CDW
Comstor
D&H
Lifeboat
Ingram Micro
Scan Source
SED
Synnex
Tech Data
Tessco
Westcon
Other
If Other:
•How do you expect your company's gross revenue (sales) to change during the next 12 months?
•What is the total value of Hardware, Software, and Services that you will purchase this year from distribution, manufacturers, other Solution Providers, or any other source as elements to the solutions you will deliver to your clients?

Privacy Policy