Example Delegate Registration Form "*" indicates required fields Invoice NumberAttendee DetailsPlease provide details for the primary registrant. All fields are required.Name* First Last Job Title* Company* Location AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Phone*Mobile Phone*Please provide your direct contact number (including extension). This allows our success coordinators to reach you in regards to any deliverables required for your participation prior summit!Additional PassesAdd more passes for any additional attendees.*Single Pass Only2 Passes3 Passes4 Passes5 Passes6 PassesSecond AttendeeDetails for additional attendees, if available.Name First Last Job Title Email PhoneMobile PhoneThird AttendeeDetails for additional attendees, if available.Name First Last Job Title Email PhoneMobile PhoneFourth AttendeeDetails for additional attendees, if available.Name First Last Job Title Email PhoneMobile PhoneFifth AttendeeDetails for additional attendees, if available.Name First Last Job Title Email PhoneMobile PhoneSixth AttendeeDetails for additional attendees, if available.Name First Last Job Title Email PhoneMobile PhoneAdditional DetailsPlease provide further details about your organization or interest in further participation.Q1. How many people are employed by your organization as a whole?Select...Less than 500500 – 10001000 – 20002000 – 30003000 – 50005000 +UndisclosedQ2. Approximately what is the annual revenue generated by your organization as a whole?Select...Less than $80M$80M – $400M$400M – $800M$800M – $1.6BN$1.6BN +UndisclosedQ3. Are you interested in future opportunities to present on the agenda? Yes No Q4. Are you interested in contributing to the Generis Blog? Yes No Q5. Permission to acquire your bio from LinkedIn? Yes No Q6. What are your top three business challenges?***** Q7. What are the top three solution providers you would like to see at future meetings?****** Areas of SpecializationFor pre-scheduled one-to-one business meetings, which of the following areas are you interested in? 3D Printing 3PL 5G & Enhanced Connectivity Accessible Automation Additive Manufacturing Additive Printing Opportunities Advanced Planning & Scheduling AGV (Automated Guided Vehicles) AI Andon-Visual Display Management Asset Control & Tracking Assistive Technology Augmented / Mixed Reality Automated Picking Automation & Robotics Autonomous Vehicles Big Data & Data Analytics Big DATA/DATA Management Blockchain Business Intelligence & Analytics Business Performance Management Change Management Solutions Clean Air Solutions Cloud Computing Models/Hybrid Computing Models Cloud Security Cloud Solutions for Manufacturing CMMS CNC Machining Component Sourcing Contract Manufacturing Outsourcing Services Cybersecurity Digital Transformation Dust Collection Systems Electrification Energy Optimisation / Utility Management Engineering Services Enterprise Manufacturing Intelligence Enterprise Quality Management Software ERP Facilities Design Scale Up Facility Construction & Renovation Factory Matching Forecasting Accuracy Forecasting, Sales & Inventory Systems Green Manufacturing Health & Safety Human-Robot Collaboration. Industrial Metrology Industry 4.0 Injection Moulding Internet of Things Inventory Management Lean Automation Lean Culture Implementation Lean Enterprise Lean Manufacturing Consulting Low Cost Automation Low Cost Country Manufacturing / Near Shoring Low Cost Country Sourcing M2M Solutions Machine Learning Machine Vision Solutions Manufacturing Connectivity Solutions Manufacturing Hardware Manufacturing Process Management (MPM) Manufacturing Scheduling Solutions Manufacturing Visibility Solutions Material Handling Hardware MES Metal Fabrication Mobile Manipulators Mobile Robotics MOM – Manufacturing Operations Management MRO Solutions Network Access Security New Normal Non-Destructive Testing On-Demand Manufacturing Operational Excellence Consulting Order management & Tracking OT Cybersecurity Overall Equipment Effectiveness Pick-Pack-Pal Plant Maintenance / Facility Management Plant Performance Optimization Pre-production Planning & Risk Assessment Predictive Maintenance Process Control Solutions & Equipment Process Design, Improvement & Management Product Lifecycle Management Production Oversight Quality & Cost Management Reducing Overall Inventory Levels Reshoring RFID Robotic Process Automation Robotic System Integration Six Sigma Consulting, Implementation & Training Smart Factory Software 4.0 Software product development Sourcing & Procurement Solutions Staffing & Recruitment Succession Planning Supplier Quality Management Software Supplier Relationship Management Supplier Oversight Supply Chain & Logistics Supply Chain Visibility Sustainability TPM Consulting Track & Trace Universal Connectability Virtual Reality Workforce Attraction Retention Training Workforce Management Workforce Training Solutions Approximately how much is your company planning to invest in the above areas?Select...Less than $1.5M$1.5M – $7M$7M – $15M$15M – $75M$75M – $150M$150M +UndisclosedTerms & ConditionsPlease review the Terms & Conditions and Privacy Policy. Your Date of Birth will act as your digital signature.Service Agreement* I acknowledge that I have read and agree to the Terms & Conditions and Privacy Policy.HiddenService Agreement (deprecated)* I acknowledge that I have read and agree to the Terms & Conditions and Privacy Policy. Terms & Conditions Privacy PolicyPermissions Generis may obtain company's logo from company's corporate website for branding purposes. (Please uncheck this box if you do not agree.)Hidden Generis may obtain company's logo from company's corporate website for branding purposes. (Please uncheck this box if you do not agree.) Booking Code Please confirm your Date of Birth:*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920VIP Delegate Package — European Manufacturing Summit Price: Service Fee Price: 0.00 € VAT (17%) Price: 0.00 € VAT (18%) Price: 0.00 € VAT (19%) Price: 0.00 € VAT (20%) Price: 0.00 € VAT (21%) Price: 0.00 € VAT (22%) Price: 0.00 € VAT (23%) Price: 0.00 € VAT (24%) Price: 0.00 € VAT (25%) Price: 0.00 € VAT (27%) Price: 0.00 € Discount CodeIf you have a promotional discount code, enter it here. Total Including 18% service fee.HiddenPaymentPayment is processed securely through our payment processor. We do not retain any payment information.Payment Method* Credit Card PayPal PaymentPayment is processed securely through PayPal. A PayPal account is not required to complete the purchase.Credit CardCard Details Cardholder Name Click Register to continue to PayPal
