Personal Information - Samsung Galaxy Rugged Reveal

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Personal Information
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Registration Summary

Personal Information

Fill out the information below, then click Next to continue.

* First Name

* Last Name

* Email Address

* Mobile

* Company

* Title

*

I will be attending the reception beginning at 4:30 pm.

This question is required.

Yes
No

*

Dietary Requirements

This question is required.

None
Vegetarian
Vegan
Gluten Free
Allergies
Other
Prefer not to answer

*

Have you previously attended a Samsung event?

This question is required.

Yes
No

*

Data Usage

Samsung will use the personal data provided above to contact you regarding your interest in our products and services. Any personal data collected will be used in accordance with our privacy policy.

I acknowledge that I have read and understood the privacy policy.

*

Media Notice

By registering and visiting Samsung Galaxy Rugged Reveal, you consent that Samsung Electronics Co., Ltd., its agents, and licensees may record, use, modify and publish your voice, actions, characteristics, and appearance in any form and in any media, globally and indefinitely, for advertising, publicity, business trade or art purposes, or for any other legal purpose.