New Customer Registration Form

Full Name*

First NameLast Name

Your Job Title*

Company*

Business Email*

example@example.com

Direct Phone Number*

Cellphone Number*

Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Who do you report into?*

Size and remit of your team?*

Budget Responsibility*

When does you budget cycle start?*

What is your purchasing responsibility*

What is your geographic responsibility?*

Business Challenge / Planned Project ONE*

Business Challenge / Planned Project TWO*

Business Challenge / Planned Project THREE*

Following are a series of strategic and/or investment priorities.

The information gathered here will shape the program and your personal agenda. Please rate each based on your current or planned strategic priorities

1= No interest 5 = High priority*

Rows	1	2	3	4	5
3D printing & additive manufacturing
AI & advanced analytics
Building trust in AI/autonomous systems
Change management and leadership
Compliance & regulatory management
Cybersecurity risk & threat detection
Data management, quality & privacy
Digital twins & IoT implementation
From pilot to plant
Green & energy-efficient technologies
Human-machine teaming
Legacy infrastructure and integration
Quantifying digital impact and justification
Resilient supply chains
Robotics & automation
Skills and talent gap

Which vendors are you currently using to help deliver your digital transformation strategy?*

Which vendors would you like to see at the event?*

Are you interested in Speaking or, joining the Advisory Committee?*

Are you interested in contributing to the Summit blog?*

Additional Colleagues - up to 4 complimentary tickets available*

If you can, please provide the names and job titles of any additional colleagues.

Terms & Conditions
I confirm that I have read and agree to the terms and conditions and understand that if I cannot attend, I must provide a replacement or will incur a cancellation fee. I agree that my details can be shared with the other Digital Manufacturing Strategies Summit attendees.