<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE html [
	<!ENTITY header SYSTEM "../common/xml/entities/header.xml">
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]>
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<TITLE>Iconics Ireland - Manufacturing Intelligence and Business Visualisation Software inc. SCADA HMI OPC GENESIS</TITLE>
<META NAME="DESCRIPTION" CONTENT="ICONICS is a leader in the development of Web-enabled manufacturing intelligence and business visualisation software."/>
<META NAME="KEYWORDS" CONTENT="ICONICS, OPC, HMI/SCADA, SCADA, HMI, MMI, Manufacturing Intelligence, Business Visualization, Business Visualisation, Collaborative Manufacturing, industrial automation software, automation software, visualisation, visualization, Human Machine Interface, Man Machine Interface, trending, multimedia alarming, historical, logging, enterprise, reporting, web-enabled, KPI, OEE, Digital Dashboards, Plant Portal, Business Intelligence, Collaboration, Quality, Industrial Information, Optimization, Data Services, Expert Systems, predictive, multivariate, Performance, Assessment, Reliability, warehouse, industrial information management, data integration, manufacturing automation, factory automation system, Ikonics, iconics, ikonics, GENESIS32, genesis32, graphworx, graphworks, alarmworks, alarmworx, trendworks, trendworx"/>
<link rel="stylesheet" type="text/css" href="../styles/standard.css"/>

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						Register for the Velocity Road Tour!
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		<td class="nav-link">
			<b><a href="../company/company.php">Company</a> >
			Velocity Road Tour Registration</b>
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			Please Enter your details below to register your interest for the ICONICS Velocity Road Tour.
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		<td class="common link" style="text-align:justify">
			If for any reason you can not complete the registration form below, please send an email with all your details
			to us <a HREF="javascript:getemail('iconics_uk_knowledge')">here</a> and we will log your interest for you.
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		<td colspan="2" style="border-bottom: 1px solid #999999" class="heading1"><img src="../images/newuser.jpg" align="absmiddle"/> Iconics Ireland Ltd Velocity Road Tour Registration</td>
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			Please fill the details below to register. Fields marked with an
			asterisk (<span class="stars">*</span>) are required. For more information on each field,
			click the <img src="../images/infosmall.jpg" align="absmiddle" border="0" /> icon.
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<form name ="myform" method="post" enctype="multipart/form-data" action="../velocity/createvelocityreg.php" onSubmit="return checkForm(this)">
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    	<a href="javascript:popUp('../user/xml/help/name.html','250','100')">
    	<img src="../images/infosmall.jpg" align="absmiddle" border="0" /></a> First Name<span class="stars">*</span>
    </td>
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    	<input name="FIRSTNAME" type="text" style="width: 100%;" tabindex="1" />
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   		<a href="javascript:popUp('../user/xml/help/name.html','250','100')">
    	<img src="../images/infosmall.jpg" align="absmiddle" border="0" /></a> Last Name<span class="stars">*</span>
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    <td><input name="LASTNAME" type="text" style="width: 100%;" tabindex="2" /></td>
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    <td class="common"><a href="javascript:popUp('../user/xml/help/company.html','250','100')">
    	<img src="../images/infosmall.jpg" align="absmiddle" border="0" /></a> Company <span class="stars">*</span>
    </td>
    <td><input name="COMPANY" type="text" style="width: 100%;" tabindex="3" /></td>
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    <td class="common"><a href="javascript:popUp('../user/xml/help/email.html','250','130')">
    	<img src="../images/infosmall.jpg" align="absmiddle" border="0" /></a> Valid Email Address<span class="stars">*</span>
    </td>
    <td><input name="EMAIL" type="text" style="width: 100%;" tabindex="4" /></td>
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    <td class="common"><a href="javascript:popUp('../user/xml/help/address.html','250','100')">
    	<img src="../images/infosmall.jpg" align="absmiddle" border="0" /></a> Address
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    <td><input name="ADDRESS1" type="text" style="width: 100%;" tabindex="5" /></td>
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	  <td class="common"></td><td><input name="ADDRESS2" type="text" style="width: 100%;" tabindex="6" /></td>
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    <td class="common"></td><td><input name="ADDRESS3" type="text" style="width: 100%;" tabindex="7" /></td>
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    <td class="common"><a href="javascript:popUp('../user/xml/help/address.html','250','100')">
    	<img src="../images/infosmall.jpg" align="absmiddle" border="0" /></a> City
    </td>
    <td><input name="CITY" type="text" style="width: 100%;" tabindex="8" /></td>
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    <td class="common"><a href="javascript:popUp('../user/xml/help/address.html','250','100')">
    	<img src="../images/infosmall.jpg" align="absmiddle" border="0" /></a> County/Province
    </td>
    <td><input name="COUNTY" type="text" style="width: 100%;" tabindex="9" /></td>
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    <td class="common"><a href="javascript:popUp('../user/xml/help/address.html','250','100')">
    	<img src="../images/infosmall.jpg" align="absmiddle" border="0" /></a> Postcode
    </td>
    <td><input name="POSTCODE" type="text" style="width: 100%;" tabindex="10" /></td>
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  	<td class="common"><a href="javascript:popUp('../user/xml/help/country.html','250','100')">
    	<img src="../images/infosmall.jpg" align="absmiddle" border="0" /></a> Country</td>
  	<td>
  		<select size="1" name="COUNTRY" style="width: 100%;" tabindex="11" >
				<option  value="0">[Select Country]</option>
				<mi:execute name="refCountry" type="query" query="../user/sql/list-country">
					<option  value="{refCountry->ID}{refCountry->Selected}">{refCountry->Name}</option>
				</mi:execute>
			</select>
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    <td class="common"><a href="javascript:popUp('../user/xml/help/companyphone.html','250','100')">
    	<img src="../images/infosmall.jpg" align="absmiddle" border="0" /></a> Company Phone</td>
    	<td><input name="PHONE" type="text" style="width: 100%;" tabindex="12" /></td>
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    <td class="common"><a href="javascript:popUp('../user/xml/help/webaddress.html','250','100')">
    	<img src="../images/infosmall.jpg" align="absmiddle" border="0" /></a>  Company Web Address
    </td>
   	<td><input name="WEBADDRESS" type="text" style="width: 100%;" tabindex="13" /></td>
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	<td class="common"><a href="javascript:popUp('../user/xml/help/webaddress.html','250','100')">
		<img src="../images/infosmall.jpg" align="absmiddle" border="0" /></a>  How did you hear about this event?<span class="stars">*</span>
	</td>
	<td id="SelectHowHear">
	<SELECT NAME="HOWHEAR" style="width: 100%;">
		<OPTION VALUE="NONE">Please Select...</OPTION>
		<OPTION VALUE="MAILSHOT">Mail shot</OPTION>
		<OPTION VALUE="MICROSOFT">Microsoft</OPTION>
		<OPTION VALUE="AUTOMATIONMAGAZINE">Automation Magazine</OPTION>
		<OPTION VALUE="MCSMAGAZINE">MCS Magazine</OPTION>
		<OPTION VALUE="COLLEAGUE">Colleague</OPTION>
		<OPTION VALUE="SPECIFYOTHER">Other Please specify below</OPTION>
	</SELECT>
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   	<td><input name="OTHER" type="text" style="width: 100%;" tabindex="13" /></td>
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    <td></td>
    <td align="center">
      <input class="input-button" value="Register!" type="submit" tabindex="21" />
      <input class="input-button" value="Reset Details" type="reset" tabindex="22" />
    </td>
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</table>
</form>

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&footer;
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