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First Name *
Last Name *
Business Email Address *
Telephone *
Job Title *
Job Level * DirectorExecutiveManagerAssistant/Associate/ClerkEntry LevelTrainee/InternNot Applicable
Company Name *
Company Type * AgencyCharity or Non-Profit OrganisationContent CreatorTV / Video Production CompanyEducational InstitutionPrivate Sector CompanyPublic Sector OrganisationIndividual
Are you working with a sponsor or third party for a record attempt? * NoYes
Industry * Accounting & Financial ServicesAdvertising & MarketingApparel & FashionArtsAutomotiveCharity/Non ProfitComputer Software & IT ServicesConstruction & Real EstateConsumer ElectronicsConsumer Packaged GoodsEducation - GeneralEducation - HigherEducation - Management & E-LearningEngineering & Industrial ProductsEvent Services (Live & Online)Food & BeveragesGovernment AdministrationHospital & HealthcareLeisure & EntertainmentLogistics & Supply ChainManagement ConsultingManufacturingMedia (Digital, Print, Radio, TV)PharmaceuticalPublic Relations & CommunicationsRetailSportsTelecom & UtilitiesTravel & Tourism
Number of Employees * Self-employed1-10 employees11-50 employees51-200 employees201-500 employees501-1000 employees1001-5000 employees5001-10,000 employees10,001+ employees
Country * United StatesCanadaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Indian Ocean TerritoryVirgin Islands (British)Brunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaTaiwan, ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d’IvoireDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoRepublic of North MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandKorea, Democratic People's Republic ofNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaKorea, Republic ofSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe
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Company Website *
What is your Objective? * PR CampaignCompany / Infrastructure RecordLive Entertainment SolutionsEmployee / Conference EngagementPersonal Achievement
What is your campaign purpose? * Anniversary / CelebrationBrand PR & AwarenessCommunity Engagement / CelebrationConsumer EngagementContent CreationDriving Tourism / FootfallProduct / Media / Event LaunchProduct / Brand PromotionSocial Responsibility - Cause AwarenessSocial Responsibility - Environmental & SustainabilitySocial Responsibility - Fundraising & Donations
Who is your audience? * EmployeesStudentsDelegates (conferences)
Type of Record * Company Performance RecordProduct Performance RecordLandmark / Infrastructure Record
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