Welcome to the Public Works Virtual Summit 2020 Registration

Please complete the below form to apply for the Summit. Make sure to complete the entire form and then click the blue "Continue" button. Please feel free to call Michelle Fetterer at 847-423-5127 with any questions. We look forward to reviewing your application!

Event: Public Works Virtual Summit 2020
First Name*
First Name on Badge (if different)
Last Name*
Your Title*
Company*
E-Mail*
Confirm E-Mail*
Work Address*
City*
State (two-letter abbreviation)*
ZIP/Postal*
Work 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.

By submitting your registration request, you agree that Endeavor Business Media, LLC and its affiliates and relevant partners may contact you via email with general event communications and advertisements about current and future events and other media which may be of interest to businesses and individual participants in your industry. You further acknowledge that you have read and agree with our Privacy Policy and Terms & Conditions. You also agree that your personal information may be transferred and processed in the United States. You may unsubscribe at any time. Registration constitutes permission for Endeavor Business Media, LLC and its affiliates to use registrant's image in photographs, video or other medium obtained during the event for marketing, promotional and other business purposes.

Please only click the "continue" button once. The application will take a moment to process your responses.