Please complete the registration form with information for the delegate who will be watching the Innovate ’09 webcast. Mandatory fields are marked with an asterisk.

Once you have registered, a link, username and password will be emailed to you ready for use on Tuesday 13 October.

Title:* 


First Name:* 


Last Name:* 


Preferred Badge Name:* 


Job Title:* 


Mobile telephone number: 


Daytime telephone number:


Email:*   


Organisation:* 


Address:* 





Postcode:* 


Region:* 
Please select East Midlands East of England London North East North West Northern Ireland Scotland South East South West Wales West Midlands Yorkshire & Humberside Outside UK Other

Would you describe your main employment as being within…* 
Please select Business Academia Public sector Third sector (ie voluntary/charity/other)

Please select a sector:* 
Please select Construction Consultancy or professional services Creative Industries Financial Services Government Health Investment Manufacturing Transport Utilities Wholesale & Retail Trade Other (please specify)

How did you hear about Innovate 09, whether online or offline?* 
Was it through…
Please select Advertising Facebook Internet National media Trade media Technology Strategy Board Research Council Regional Development Agency Trade or business association Knowledge Transfer Network (please specify) Other online links or notices Other (please specify)

If you are making this booking on behalf of the delegate, please give your name:


And your email address:


Your details will be handled in accordance with The Data Protection Act (1998). We do not share personally identifiable information with third parties, except as specifically indicated in this statement.

The Technology Strategy Board will safeguard the information you provide and make it available only to the event organiser and anyone to which the event organiser provides access. The Technology Strategy Board has no control over, and shall not be liable for any damages or injury arising from the privacy practices of an event organiser. Accordingly, if you want to find out how an event organiser will use any of your registration information, you need to ask the event organiser about their privacy policy.

If you do not want us to contact you in future about the Technology Strategy Board’s events and would like your details removed from our database, please tick this box