First Name
Last Name
Business Email Address
Password
Confirm Password
Company
Job Title
Role
CMO
Executive (aside from CMO)
Vice President
Director
Manager
Specialist/Analyst
Consultant/Freelance
Professor
Student
Other
Phone
Address
City
State/Province
State/Province*
US – Alabama
US – Alaska
US – American Samoa
US – Arizona
US – Arkansas
US – California
US – Colorado
US – Connecticut
US – Delaware
US – District of Columbia
US – Florida
US – Georgia
US – Guam
US – Hawaii
US – Idaho
US – Illinois
US – Indiana
US – Iowa
US – Kansas
US – Kentucky
US – Louisiana
US – Maine
US – Maryland
US – Massachusetts
US – Michigan
US – Minnesota
US – Mississippi
US – Missouri
US – Montana
US – Nebraska
US – Nevada
US – New Hampshire
US – New Jersey
US – New Mexico
US – New York
US – North Carolina
US – North Dakota
US – Northern Mariana Islands
US – Ohio
US – Oklahoma
US – Oregon
US – Pennsylvania
US – Puerto Rico
US – Rhode Island
US – South Carolina
US – South Dakota
US – Tennessee
US – Texas
US – United States Minor Outlying Islands
US – Utah
US – Vermont
US – Virgin Islands, U.S.
US – Virginia
US – Washington
US – West Virginia
US – Wisconsin
US – Wyoming
CA – Alberta
CA – British Columbia
CA – Manitoba
CA – New Brunswick
CA – Newfoundland and Labrador
CA – Northwest Territories
CA – Nova Scotia
CA – Nunavut
CA – Ontario
CA – Prince Edward Island
CA – Quebec
CA – (*14*)
CA – Yukon
AU – Australian Capital Territory
AU – New South Wales
AU – Northern Territory
AU – Queensland
AU – South Australia
AU – Tasmania
AU – Victoria
AU – Western Australia
Other
Postal/ZIP Code
Country
Country*
United States
Canada
United Kingdom
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Cote d’Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City)
Honduras
Hong Kong (SAR)
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Maarten
Saint Martin (French)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Montenegro
Zambia
Zimbabwe
St. Maarten
Business Type
Business Type*
Business to Business (B2B)
Business to Consumer (B2C)
Both B2B and B2C
Business to Government (B2G)
Agency
Non-Profit
Company Size
Company Size*
1 to 10
11 to 50
51 to 100
101 to 250
251 to 500
501 to 1,000
1,001 to five,000
5,001 to 10,000
10,001+
Marketing Team Size
Marketing Team Size*
1 – 2
3 – 19
20 – 50
51 – 100
101+
Industry
Industry*
Advertising
Arts and Entertainment
Automotive
Banking and Financial Services
Biotechnology
Construction/Development
Consumer Goods
Educational Services
Food and Beverage
Government
Healthcare
Insurance
Manufacturing
Marketing Services
Media Publishing and Broadcasting
Media Services
Nonprofit
Pharmaceuticals
Professional Services
Real Estate, Rental and Leasing
Research
Retail
Retail – Online Only
Technology – Hardware, Software, and Services
Telecommunications
Transportation and Warehousing
Travel, Leisure, and Hospitality
Utilities
Wholesale Trade
Other
Company Revenue
Company Revenue*
lower than $10 million
$10 million to $50 million
$51 million to $100 million
$101 million to $500 million
$501 million to $1 billion
$1 billion+
Don’t know/Can’t Disclose
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