Secure Stores Forum Registration

Welcome to The Secure Stores Forum 2017 Delegate Registration

Please complete the form below to apply to attend The Secure Stores Forum in Boca Raton, FL on 02/26/2017. Make sure to complete the entire form. If you have any questions, please call 800-746-9646

First Name	*
Last Name	*
Your Title
Company	*
Name on Badge	*
E-Mail	*
Confirm E-mail	*
Address	*
City	*
State / Province (two-letter abbreviation)	*
Zip / Postal	*
Phone Number	*
Cell Number	*
Emergency Contact Person AND Phone Number	*
Please tell us about your organization:
How many store locations does your company operate? (Please use only numbers)
For how many locations are you personally responsible (including those managed by your direct reports)?
What brand names are your stores know as?
Information about your Purchase Needs and Authority
Are there any security- or loss prevention-related products or services which you expect to purchase or change vendors for in the next 24 months? Please tell us what they are.
Do you select Camera and Video Surveillance vendors?
Do you select Alarm System vendors?
Do you select Security Guard Services vendors?
Do you select Hardware, Keys or Locksmithing vendors
Do you select Electronic Article Surveillance or Merchandise Security Tag vendors?
Do you select Cash Handling Equipment
Do you select Exception Reporting software or services?
Do you select Employee Screen Services vendors?
Networking is the greatest value of our event. If you can, please share with us two other industry professionals you'd like to see here.
Do you understand we expect you to attend all sessions and events at The Forum?
Please tell us the NAME and TITLE of your immediate supervisor	*
What is your shirt size? (No promises, but sometimes we have goodies!)
How did you hear about The Secure Stores Forum?
Verify that you're a real human	*