EVENT REGISTRATION FORM

Cybersecurity (CISO) Leadership: San Francisco | Event Registration Form (In-Person Events)

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Event Title

Profile

Name*

Please ensure your name is written as you would like it presented on your name badge. Please also include 'title' if you would like this included

First Last

Corporate Email*

Please include corporate email as validation that you are currently employed

Cell Phone*

Your phone number will not be shared. This number will be used for car service notifications should we assist in your travel arrangements. We do not share your cell phone with third parties

LinkedIn Profile*

Used for verification purposes, helping ensure that this is the right event for you

Current Job Title*

Used for verification purposes, helping ensure that this is the right event for you

Current Employer*

The format of this event requires that you are currently employed. Please ensure to write the company name as you would like it presented on your name badge

What industry is your company in?*

This will help us with appropriate grouping, and event layout, to maximize value in discussions

Projects & Responsibility

Do you have responsibility for any of the following?*

Please specify which area is most interesting for you to discuss*

Do you have active projects/current initiatives, that you would like to discuss?*

Please summarize your top challenges you need assistance with in the next 3-6 months. Providing this information helps us ensure a relevant evening schedule for all guests*

Share any details that can help us improve discussions at Kodi Connect events

Your Preferences

Would you be interested in presenting at this event?

Our production team is always on the look out for thought leaders who would like to present or join a stage panel. Express your interest here & we can discuss collaborating for future events

Please State Any Food/Alcohol Allergies (Including Strict Food Preferences)

Please share details. We will work with the venue to ensure you are accommodated & any necessary safety precautions are met

Anything We Should Know To Ensure We Can Host You Perfectly For The Event?

Do you live close to the venue? Can we help you with travel arrangements? Let us know any way that we can help and our coordination team will contact you to assist

Where did you hear about this event?*

The Kodi team work hard to bring the best people together

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EVENT REGISTRATION FORM

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