Association for NEDs & Chairman in listed technology and related media businesses. Advertising for chairmen, non executive directors and related roles

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Joining the ITNEA   

 

You will have checked that you meet the criteria for membership   
You have elected to complete this e-form to submit your application to ITNEA
A.  Please complete this form in full to apply for membership of the ITNEA.  * Indicates a required field/set.  Before sending the form please take copies for yourself.

 

This is an ITNEA application form

  * Indicates a required field/set 

 Applicant 

First Name * 
Last Name *
email * 
   Please provide an email address that is expected to last across changes in NED roles..  It is our preferred form of communication

Quoted or near float TMT Companies where I am a Non-executive Chairman (Chair) or Director (NED)

   Please enter each company, and select whether listed or not - Type - and your non-exec Role

 

1 *

Company                                             Type of Co.                Role

          

2

       

3

          

Preferred address for (very rare) postal mailings

    Please supply ,as we find that many companies do not forward non-executive's email, or delay

Company  if needed
Line 1 * 
Line 2 *
Line 3 *
Line 4 
Line 5  
Post code *   

Other contact details

Telephone * 
Mobile
Fax

 I would like to join the ITNEA

Optional non-executive opportunity advertising service

I understand that the ITNEA may email me details of chairman / non-executive and related opportunities from time to time.  

Please change to "No" if you do not wish to receive such emails.       You can change to "No" later, if so wished. 

Further Information

This box is for you to add further information.  Please list any other directorships, listed and unlisted, plus any other data in support of your application.

 

Please print for your record before submitting

    

Note:  ITNEA does not pass on personal details to other organisations, other than addresses to our "agents" for mailing purposes only. 
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David Tebbs Associates.
Copyright © 2003 [ITNEA]. All rights reserved.
Revised: April 05, 2008