GreenFleet

To book your place at GreenFleet Scotland, which takes place at The Royal Highlands centre, Edinburgh on 8th September 2009, please complete the following form.

Title -----Select----- Mr Mrs Miss Ms

First Name

Surname

Job Title

Organisation

Address 1

Address 2

Town

County

Post Code

Country (if not UK) Select CountryAfghanistanAlbaniaAlgeriaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia-HerzegovinaBotswanaBrazilBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas Island (Australia)Cocos Island (Australia)ColombiaComorosCongo (Brazzaville),Republic of theCongo, Democratic Republic of theCook Islands (New Zealand)Costa RicaCote d'Ivoire (Ivory Coast)CroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Indonesia)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgia, Republic ofGermanyGhanaGibraltarGreat Britain and Northern IrelandGreeceGreenlandGrenadaGuadeloupeGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotte (France)MexicoMoldovaMonaco (France)MongoliaMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorth Korea (Korea, Democratic People's Republic of)NorwayOmanPakistanPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalQatarReunionRomaniaRussiaRwandaSaint HelenaSaint Kitts (St. Christopher and Nevis)Saint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia-MontenegroSeychellesSierra LeoneSingaporeSlovak RepublicSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia (Falkland Islands)South Korea (Korea, Republic of)SpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTogoTokelau (Union) Group (Western Samoa)TongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and Futuna IslandsWestern SamoaYemenZambiaZimbabwe

Telephone

Email

Website

Where did you hear about the event? -----Select----- GreenFleet Magazine Direct mail Email Telemarketing ACFO Newsletter/Website BEP Newsletter/Website Scottish Business in the Community EST Other

How many cars does your company operate? -----Select----- NONE 1-9 10-19 20-49 50-99 100-150 151-250 251-400 401-1000 Over 1000

How many Light Commercial Vehicles does your company operate? -----Select----- NONE 1-9 10-19 20-49 50-99 100-150 151-250 251-400 401-1000 Over 1000

What is your primary job function? -----Select----- Fleet Management Purchasing Sales/Marketing Finance Director Company Secretary/Accountant Transport Management Administration Senior Management Chairman/Director Human Resources Other (please specify below)

Other (please specify)

Do you have responsibility for the purchase, specification and/or recommendation of the following? -----Select----- Acquisition of Company Vehicles Fleet Management Insurance Windscreen Replacement Tyres/Exhausts Driver Training Software Packages/IT Mobile Phones Business Travel Contract Hire/Leasing Company Vehicles Fuel Cards Servicing Vehicles Breakdown/Recovery Services Vehicle Security Vehicle Disposals Vehicle Parts Daily Rental Other (please specify below)

Other

Is your fleet? -----Select----- Owned outright by your company Contract Hired/Leased A combination of both

Would you be interested in meeting appropriate contacts to discuss your fleet & transport requirements? yes no

Do you have a HGV licence? yes no

= Required