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IAN. Membership Application Form

Kindly complete this application form to proceed with your membership request.

STEP 1

Personal Information

STEP 2

Business Information

STEP 3

Membership Details

STEP 4

Additional Information

STEP 5

Declaration

STEP 6

Email Verification

Personal Information

Full Name

Date of Birth

Gender

MaleFemale

Contact Information

Social Media Profiles

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Do or Have you serve Nonprofit Board?

YesNo

Social Media Profiles

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Do or Have you serve Corporate Board?

YesNo

Social Media Profiles

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Business Information

Company

Business Address

Company Website

Industry

Annual Revenue

Less than $5 million$5 million - $25 million$25 million - $50 millionMore than $50 million

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Membership Details

Why do you want to join our organization?

What can you contribute to our organization?

Are you currently a member of any other organizations?

YesNo

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List Nonprofit Organizations that You Support

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Additional Information

Awards and Recognitions (Optional)

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Hobbies and Interests (Optional)

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Any other information you would like to share (Optional)

Are there other candidates you would recommend who share your business and cultural values? (Optional)

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Declaration

Signature

Date

I hereby declare that the information provided in this application is true and correct to the best of my knowledge. I understand that providing false information may result in the rejection of my application or termination of my membership.e condition for consent here.

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Email Verification

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support@ian.club

IAN. Membership Application Form

Personal Information

Business Information

Membership Details

Additional Information

Declaration

Email Verification

Start Your IAN Membership Journey

Quick Links

Contact Information

Start Your IAN
Membership Journey