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If you are a Director, please tell us if you are a:

Film/Video Director Company Director

Both

Is Your Work TV, video or multimedia related? *

Yes

No

What best describes your company's main activity? *

Broadcaster Production/Representation Company Facilities and/or Production Services Design Multimedia Corporate Company	Freelance Advertising Agency Manufacturing Education Public Sector
Other (Please specify)

Are you responsible or ultimately responsible for any of the following areas (please tick all that apply): *

Buying TV/video/film/multimedia related hardware/software Hiring TV/video/film/multimedia related facilities and/or other production services Commissioning Production Work Asset management, storage and/or distribution No I am not responsible for any of the above areas

Other (Please specify)

What is your approximate annual spend in the above areas? *

£500,000 + £250,000 to £499,999 £100,000 to £249,999

£50,000 to £99,999 £30,000 to £49,999 up to £29,999

Qualification

For audit purposes we would usually ask you to sign and date an application card to confirm you wish to receive copies of Televisual and to validate your request. As we cannot collect signatures online please answer the following question:

What are the first two letters of your father's first name?


Do you wish to receive or continue to receive a free copy of Televisual? * Yes No

Data Protection

Your details will be processed by Televisual in full accordance with all relevant UK and EU data protection legislation.

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1. Televisual would like to contact you regarding future Televisual events or promotions by email. Would you like to receive this service?

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2. From time to time the Televisual may allow carefully selected companies to send you relevant information and special offers by post. Would you like to receive this service?

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