Annual Conference – Exhibitors Registration EXHIBITOR INFORMATIONName of Organisation:*Registered Address:*Sector/Industry:*Financial ServicesOil & GasTechnology/ICTManufacturingFMCGEducationHealthcareConsultingGovernment/Public SectorTelecommunicationsMedia & CommunicationsProducts/Services to be Exhibited:*COMPANY REPRESENTATIVE DETAILSName of Company Representative:*Designation/Position:*Telephone Number:*Alternative Telephone Number:*Email Address*ORGANISATIONAL PROFILECompany websiteEXHIBITION REQUIREMENTSExhibition Package Selected:*Standard BoothPremium BoothSponsor & Exhibitor PackageDATA CONSENT* We consent to the Institute of Change Management (ICM) maintaining our details in its Exhibitors Database for future conference, exhibition, sponsorship and partnership communications. AUTHORIZATIONName*Date* Δ