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Gallo Business Media | Creators of meaningful and lasting business relationships

Welcome to Public Works Virtual Summit 2020 Delegate Registration

Please complete the form below to apply to attend the summit. Make sure to complete the entire form and then click the blue "Continue" button.

Event: Public Works Virtual Summit 2020
User Name*
Choose a Password*
Please retype Password*
This is the user name and password you will use to login and complete or modify your registration. Please make a note of this user name and password.
First Name*
Last Name*
Your Title*
Company*
Name on Badge*
E-Mail*
Confirm E-Mail*
Address*
City*
State (two-letter abbreviation)*
ZIP/Postal*
Phone Number*
Cell Number*
Emergency Contact Person AND Phone Number*
 
To verify that you're a real human and not an automated spambot, please answer the following question:
Independence Day is the Fourth of*
 
*These fields are required to have a value.

Please tell us about your organization:

What is the population size your department serves?

Tell us a little about your municipality and department (2-5 sentences).

Tell us a little about yourself - your background, years in the industry and your current scope of responsibility. Are you a sports fan, pet owner, or world traveler? Tell us that, too!

What do you think your municipality is doing well right now?

What keeps you up at night regarding your organization?

Who are some professionals in the industry you would enjoy spending time with?

If you could join two roundtable discussions with several of your peers, what would the discussion topics be titled?

What other Public Works Directors or Departments would you recommend we include in the Summit?


PROCUREMENT PLANS

What is your annual Public Works budget?

Water / Wastewater / Stormwater products and services: What is your projected need?

Please provide a little detail about your needs in this area (type N/A if not applicable):

Roadway / Roadway Repair products & services: What is your projected need?

Please provide a little detail about your needs in this area (type N/A if not applicable):

Waste / Recycling products and services: What is your projected need?

Please provide a little detail about your needs in this area (type N/A if not applicable):

Facilities / Buildings & Grounds products and services: What is your projected need?

Please provide a little detail about your needs in this area (type N/A if not applicable):

Fleet products & services: What is your projected need?

Please provide a little detail about your needs in this area (type N/A if not applicable):

Asset Management Systems: What is your projected need?

Please provide a little detail about your needs in this area (type N/A if not applicable):

Please tell us about any new or continuing capital budget projects you are involved in (type N/A if not applicable):

Please list 2-5 products or services you would like to learn more about.

Do you have access to a camera on a computer?

I Agree: If I am selected to participate in the Public Works Virtual Summit, I agree to be present for all sessions, meetings and functions scheduled for the event.

Please Enter a short Bio