CONTACT INFORMATION
Name:* ☐ Mr. ☐ Mrs. ☐ Ms. ______Name for badge: ______
Title:* ______
Company:*______
Company Mailing Address*: ______
City:* ______/ State/Province* ______
Country: ______/ Postal Code*: ______
Telephone*______/ Fax: ______
E-mail*: ______
*Indicates a required field
**Please note, in order to be included in the ENGAGE311 Attendee Directory, you must register before May 1, 2017
CONFERENCE REGISTRATION
Registration fees include admission to all breakfasts, lunches and receptions. See agendas for more details.
☐ CS Week Conference Utility Registration (Thursday, May 25th – Friday, May 26th) / $395
*Please note, this CS Week Conference rate only applies if you also attend the ENGAGE311 Conference
Types of Calls received in your call center (select all that apply):
☐ Animal Control ☐ Code Compliance ☐ Consumer Health ☐ Credit Collections ☐ Dispatch ☐ Environmental Mgt ☐ Municipal Court ☐ Parking ☐ Parks & Rec ☐ Planning & Development ☐ Police (non-emergency) ☐ Public Works
☐ Solid Waste (Sanitation) ☐ Storm Water ☐ Streets ☐ Transportation ☐ Utilities
Other (Please list):______
What is your City’s population?
☐ 50,000 or less ☐ 50,001 – 250,000 ☐ 250,001 – 500,000 ☐ 500,001 – 999,999 ☐ 1 million or more
Annual Calls Handled in your call center?
☐ 0 – 100,000 ☐ 100,001 – 300,000 ☐ 300,001 – 500,000 ☐ 500,001 – 1.0 million ☐ Greater than 1 million
Social Media your call center utilizes:
☐ Facebook ☐ Instagram ☐ Mobile App ☐ Twitter ☐ YouTube
Other (Please list):______
How many years has your City had 311? ☐ 0-1 years ☐ 1-3 years ☐ 3-5 years ☐ 5 + years ☐ Considering 311
How many agents are employed at your call center? ☐ 0-20 ☐ 21-40 ☐ 41-60 ☐ 61 +
What CRM systems do you utilize? (select all that apply):
☐ Banner ☐ City Works ☐ Homegrown ☐ Microsoft ☐ Motorola ☐ Oracle ☐ Salesforce ☐ SAP ☐ Sharepoint
☐ Siebel ☐ Verint / Kana ☐ Wendia ☐ RFP in Process ☐ N/A
Other (Please list): ______Continue to second page
PAYMENT INFORMATION
*Payment is due at the time of registration
Method of payment (select one) ☐ Check enclosed payable to CS Week ☐ Visa ☐ MC ☐ Amex ☐ Discover
Card #:______Exp. Date:______Security Code:______
Name as it appears on card (Please print):______
Signature:______
Please allow two weeks for registration confirmation
4 EASY WAYS TO REGISTER:
1. E-mail:
2. Call: 903-893-3214 or direct at 903-821-8721
4. Fax: 903-893-6136
5. Mail: CS Week
Attn: Amber Wiens
2612 W Lamberth Rd Ste 300
Sherman, TX 75092
For questions or additional information regarding registration, please contact
Amber Wiens, CS Week 311 Manager at (903) 821-8721.
CANCELLATION POLICY
CANCELLATION POLICY: Cancellations received in writing by the registrar before May 1, 2017 will receive full refund of registration fees, less a $75 administrative processing charge. Cancellations received on or after May 1, 2017 will not receive a refund. Substitutions will be accepted. All refunds will be processed after CS Week Conference.
CS WEEK PRIVACY POLICY
Your information belongs to one person – you. 1. We believe your information belongs to you. 2. No one outside of CS Week has access to your e-mail or phone numbers. 3. We do not sell our attendee lists or share sensitive contact information.
Your personal data is a top priority. 1. The security of your personal data is important to CS Week. 2. We do not use cookies in our broadcasts to gather information. 3. We may share your personal information with third parties we hire to perform support services for us. These third parties are required to use the personal information we share with them only to perform services on our behalf and to treat your personal information as strictly confidential. 4. Any vendor contact outside the stated guidelines may originate from pre-existing information in a vendor’s database.
Photographs and video will be taken at CS WEEK. By registering for this event, you agree to allow CS WEEK to use your image in any CS WEEK–related publication, promotion or web site.
CIS Conference, Inc. dba CS Week TAX ID/EIN #75-2609026