Application
CI - Commercial Integrators

1. Profile
2. Summary
3. finished

We appreciate your time in completing this form thoroughly and thoughtfully. Please familiarize yourself with the questions in this form and begin completing it at your earliest opportunity. You must complete the form at one sitting. Once you “submit” your application you may no longer access it.

General Information

First Name*:

Last Name*:

Job title*:

Company Name*:

Company Name for Summit Guide *:

Address (no PO Box)

Address*:

Address Line 2:

City*:

State / Province / Region*:

Postal / Zip Code*:

Country*:

Communications

Office Phone*:

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Fax Number*:

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Website*:

Email*:

Mobile Phone Number*:

Login information

Please choose a personal email and password to access the matchmaking tool.

Email*:

Password*:

Retype Password*:

Individual Profile

Years/Positions with Company*:

Previous Employers/Positions*:

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Total Years in Commercial Electronics Industry*:

Education*:

Association Membership/Leadership*:

Do you, or does your company or any affiliated company, manufacture commercial electronics products or distribute such products or services to other commercial electronics dealers? If yes, please describe the products that you manufacture and the products or services that you sell, as well as your involvement in either or both.*:

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Please indicate all buying groups your company participates in and is restricted from changing vendors by buying group covenants.*:

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Please list the name and contact information for any manufacturers you feel should sponsor this event. :

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Please list any additional executives from your company in areas of Sales, Installation and General Management that are involved in product evaluation and selection and would benefit from attending the Summit. :

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Have you attended the Summit before*:

2012

2013

2014

Never attended

Survey Questions

Brief Bio*:

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Favorite Aspect of Commercial Electronics:

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Hometown:

Married/Single/Family:

Leisure Pursuits:

Favorite Food & Drink:

Favorite Sports/Teams:

Airports in close proximity to your home or office :

Airline Seating Preference:

Window Aisle

Dietary Restrictions:

In The Case of Emergency

Contact Name*:

Relationship*:

Phone Number*:

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Top Suppliers

NOTE: The following section is optional, but your participation is greatly appreciated and enhances our ability to provide valuable industry analysis.

Please identify top suppliers for Audio products, including audio components, audio processors, audio distribution systems, microphones, paging systems, loudspeakers and subwoofers :

Please identify top suppliers for all Cable & Connector products, including fiber-optic transport, multimedia cabling, specialty A/V cables/interconnects, structured cabling systems:

Please identify top suppliers for all Control & Automation products, including HVAC controls/thermostats, large-scale control systems, lighting controllers, remote controls, touchscreens :

Please identify top suppliers for Communication products, including teleconferencing, videoconferencing, telepresence solutions, interactive whiteboards :

Please identify top suppliers for Digital Signage products, including media servers, displays and digital signage software :

Please identify top suppliers for Power Management products, including cooling devices, energy monitoring products, power conditioning, surge suppression, smart networked power :

Please identify top suppliers for Information Technology products, including IP enabling devices, cloud, networking and storage solutions :

Please identify top suppliers for Electronic Security products including access control, video surveillance, intrusion and fire detection, and electronic article surveillance :

Please identify top suppliers for Energy Management products including HVAC controls, energy information systems and photovoltaic power :

Please identify top suppliers for Video products, including video distribution, matrix switcher, modulators, projectors and screens, TVs and monitors, processors, scalers, media players :

Please identify most valued distributors used:

Please identify top suppliers for Furniture and Display products, including cabinets, racks, mounts, cases :

Please identify top suppliers for Industry Services, including third party programmers and software, project management, accounting and general business software, warrant and repair services, and training :

Have Questions?

Contact Leigh Fishback at 508-618-8330 or leigh@ae-ventures.com

ApplicationCI - Commercial Integrators

General Information

Address (no PO Box)

Communications

Login information

Individual Profile

Survey Questions

In The Case of Emergency

Company Information

Top Suppliers

Have Questions?

Application
CI - Commercial Integrators