Facility Executive Online Application

April 11-13, 2010
Innisbrook Resort and Golf Club, Innisbrook, FL



Once you have submitted an invitation request, the company and project information you have provided will be reviewed to determine if your project(s) meet the necessary criteria to attend the event. You will receive a response to your request within 48 hours.

This event is capacity controlled and all registration requests are subject to availability.

We are sensitive to the confidentiality of your project details, and sponsors attending The TFM Forum Institutional will be provided with access to this information only after the official facility executive/sponsor review process begins.

If your project requires additional confidentiality restrictions, please contact us after submitting and indicate your needs in the comments section of this form at the end.

Please use the below form to complete your Application.

If you need assistance with this form or would like to speak with a staff member, please call 732-842-7433.


(* required information)

Your Contact Information: *


Required for on site communication


Your Organization's Profile:



For your facilities products/services, what is your involvement? *
(Check all that apply if your involvement is more than 50% of the time for new products/services.)
I purchase
I plan
I approve
I recommend
I specify
Little/None

When it comes to purchasing facility management products/services are you the final decision maker? *
Yes No
 
How many years have you been the final decision maker? *
 
In 200 words or less, why do you want to attend or what do you feel you get from The TFM Forum? *
 
What is the operational or management mission for which you are responsible? *
 


How many employees do you have in your institution (in all locations)?*
Below 100
100-499 		500-999
Above 1000
During the next 24 months, is your institution planning a: (check one or more)*
New Construction Project
Modernization Project 		Do Not Know
What would you estimate as the total dollar amount your organization will spend on Facility Management products and services in the next 12 months?*
Up to 1 Million
1 Million- 5 Million
5 Million - 10 Million 		10 Million - 15 Million
Above 15 Million
How many total buildings do you manage?*
1 - 5
6 - 10
11 - 20
 21 - 50
51 - 75 		76 - 100
Above 100
What is the total square footage of buildings you are directly involved with?*
Less than 100,000
100,000 - 249,000
250,000 - 499,999
 500,000 - 999,999
1 - 3 Million
4 - 6 Million

What products or services will you be purchasing in the next 24 months: (select all that apply)*
Access Control
Acoustics/Sound Masking
ADA & Ergonomic Products
AED/Heart Difibrilators
Badging
Bird Control/Pest Control
Building Automation
Building Materials
Carpeting
CCTV
Ceilings/Wall Systems
Communications Equipment
Conference Room Equipment
Doors/Door Hardware
Electrical Equipment
Elevators/Controls
 Energy Management
Energy Services
Exit Signs
Exterior Products/Services
Exterior Sealants/Coatings
Fire/Life Safety
Flooring
FM Software Products
Furniture Refurbishings
HVAC and IAC
Interior Furniture
Lighting Products/Controls
Maintenance & Cleaning Products & Services
Office Technology and Supplies
Paint/Wall Coverings
 Plumbing/Restrooms
Power Supply - UPS-Generators-etc.
Professional FM Services
Recycling Products
Roofing
Seating
Security Products/Services
Shredders
Signage
Storage
Textiles
Water Treatment/Purification
Window Films
Windows
Wiring/Cable




If there are aspects of your institution's current initiatives/campaigns that have not been covered in this form,
please describe them here:




What is the name of your direct manager? Please provide their contact information (telephone number and e-mail address) in the below space. This information will be used to qualify you as an attendee to the TFM Forum Institutional event. *




How did you hear about this event?*
Please check all that apply:
E-mail
Print Ad
Direct Mail
Search Engine 		TFM Website
Other
If you checked 'Other', please describe here:




NETWORKING EVENTS:

   
Networking Events are available on Sunday, April 11, 2010
Please indicate which of the Networking Events you will participate in: *
The Facility Tour
Golfing
I will not participate in either
 
If Golfing:  
I'll bring my own clubs
I'll rent clubs - right-handed
I'll rent clubs - left-handed




TRAVEL ARRANGEMENTS:

Will you need help with AirFare to the event? *

Yes
No



Late Cancellation Fee Agreement:


Cancellation Fee Explained:
Attendance at The TFM Forum Institutional is complimentary.
 However if you cancel your registration after February 12, 2010, you will be liable for a cancellation fee of $1,000.
  • This is structured to ensure that attendees are committed to the selection process and to ensure that they are not holding a place open that they do not intend to take.


  • We anticipate the demand for places to be greater than we can accommodate, and any cancellations will deprive another facility executive of the potential opportunity to attend.


  • In the event of a cancellation, the attendee may suggest a suitable replacement. However, acceptance of the replacement is at the full discretion of Group C Media, Inc., parent company of The TFM Group and The TFM Forum Institutional.


This invitation has been extended to you as a representative of the organization stated above. If you are no longer employed by the above company, your invitation to The TFM Forum Institutional is no longer valid. Please contact Group C Media if you have moved to a new company. If appropriate, we will extend a new invitation to you representing your new employer.

While your participation at The TFM Forum Institutional is complimentary, you are responsible for your incidental charges including (but not limited to): telephone calls, drinks at the bar, and items from the gift shops. Group C Media reserves the right to review and cancel this registration at any time.

I understand this form constitutes a firm booking and confirm that the details supplied on this form are true and correct.

Credit Card Information:

I authorize Group C Media, Inc., the parent company of The TFM Forum Institutional, to charge the following credit card in the case of cancellation as defined above:
 
Card Type* Visa Mastercard AMEX
 
Name On Card*
Card Number*
Expiration Date* /
Security Code*
(Your security code is the last three digits on the signature strip for VISA/MC, or the four-digit code on front of AMEX, just above and to the right of the account number.)

Your card will be authenticated upon receipt of this form, but no charges will be made against it until a cancellation is confirmed.

I understand that by entering my full name below and clicking on the Accept button that this constitutes a firm registration and my agreement to all the Terms and Conditions should I be approved to attend The TFM Forum Institutional.
Full Name:*