Registration

Glad that you can join us on this event. In order to confirm attendance we ask all our attendees to provide us with the following details to ensure the event runs smoothly and effectively, and you all get the most out of your time together. Without them being complete we will not be able to confirm your attendance to the events team.

Event Date

First Name

Last Name

Company Name

Job Title

Direct Number

Mobile Number

Feedback Call Date

Feedback Call Time

Timezone

Dialogue Insights Point of Contact

Fields marked with * are required.
Thank you for completing the confirmation form. This provides the details that allow us to ensure the highest standards are met for all of our attendees. The details you have provided ensure the broadcast team can formalize your roundtable and deliver a valuable experience for you and your peers.
TERMS & CONDITIONS
You have agreed to fully participate for 90 minutes during the roundtable outlined above on the date and time stated within this confirmation form.
You have agreed to comply with our house rules in regards to your participation on the roundtable. Any non-adherence to the rules may result in you being removed from the roundtable and jeopardize any future attendance.
7 or more days before the roundtable, if you are not able to attend, we ask that you work with us to provide a replacement of equal standing.
Cancelling your participation within 7 days of the roundtable without providing a suitable replacement may jeopardize your suitability to join any future events, roundtables, etc.
You have agreed to attend a 5-10 minute post roundtable telephone review meeting within 48hrs of the roundtables conclusion.
Our roundtables are exclusive and there are limited spaces available. Non-attendance, after agreeing to these terms and conditions, may jeopardize your suitability to join any future roundtables.
The roundtables are entirely closed door but if we feel any of the content would be valuable to our community, we would not release any materials without your expressed permission.
We may contact you from time to time, with any additional events, roundtables, etc. that we deem beneficial to you.
By confirming your attendance with the below signature, Dialogue Insights maintains the right to use any data provided by you and associate your name and organization to the Dialogue Insights product offering. In making this agreement you provide consent for Dialogue Insights to share your details with other attendees pre, during or post event to facilitate networking.

I agree to these terms.