First Name *
Last Name *
Job Title *
Email Address *
Please note, a valid business email is required for the T.E.N./Sponsor Program registration.
An alternate email may be provided if that is your preferred contact method with T.E.N.
Company Address 1 *
Company Address 2
ZIP Code *
Please note, a valid business phone is required for the T.E.N./Sponsor Program registration.
Cell Phone (Required for Uber) *
Please provide in case we need to contact you the day of the event. This information will not be shared.
Pick Up Address *
Drop Off Address (If Different from Pick Up) *
How did you hear about this dinner? *
T.E.N. EmailT.E.N. WebsiteT.E.N. Social MediaT.E.N. EmployeeCo-worker / PeerSponsorOther
Agriculture and MiningBusiness ServicesComputers and ElectronicsConsumer ServicesEducationEnergy and UtilitiesFinancial Institutions/Insurance/BrokerageFederal GovernmentHealthcare (Payee/Payer)Hospitality/TravelLegalManufacturingMedia and EntertainmentNon-ProfitPharmaceuticals and BiotechReal Estate and ConstructionRetail (Online/Brick & Mortar)Software and InternetTelecommunications/MobilityTransportation and StorageWholesale and Distribution
How many employees does your company have? *
Less than 5kGreater than 5k but less than 10kGreater than 10k but less than 50kGreater than 50k but less than 100kGreater than 100k
What is your company's annual revenue? *
Less than $500MGreater than $500M but less than $1BGreater than $1B but less than $50BGreater than $50B but less than $100BGreater than $100B
Are you personally returning to in-office work, staying remote, or using a hybrid structure at this time? *
Are you attending Black Hat 2022? *
How involved are you in your company’s information technology and security decision-making process?
I am the key decision makerVery involvedSomewhat involvedNot involved
What are your company’s top three security initiatives during 2022/2023?
Do you have any special dietary requests or food allergies?
What is your Twitter handle?
If you frequent any other cities and would like to be invited to events in those areas as well, please list them to the right.
Agree to the Release of Liability *