AUS Alumni CEO Club Membership Application

AUS Alumni CEO Club Membership Application
Name*

First NameLast Name
Nationality*
Date of Birth*

MonthDayYear
Date
Marital Status*
Number of Children*
AUS ID*
Email*
[email protected]
Education Level*
College/School*
Company Name *
Company Incorporation Year *
Company Email*
Company Telephone Number *
Company Website *
Business Address *
City *
Country *
How many employees are in your organization?*
Do you have major control of your business?*
Is it a family-owned business?*
Company annual sales revenue*
Industry *
What is your focus for joining the AUS Alumni CEO Club?*
Your Awards/Achievements and Expertise: *
Preferences (please select all that applies):*

Breakfast MeetingLunch MeetingDinner EventAfternoon TeaConferenceDelegationWellness SessionVirtual MeetingOther
Hobbies (please select all that applies):*

ReadingTennisGolfCricketConcertsTravelFootballYogaPaintingOther
Collections (please select all that applies):*

WatchesPensJewelryCarsAntiquesStampsCoinsPaintingsArtifactOther
LinkedIn*
Instagram*
Facebook*
Twitter*
YouTube*
Are you interested in a speaking opportunity?*
Topics you like us to cover:*
PA/Secretary Name*
PA/Secretary Mobile/WhatsApp:*
PA/Secretary Email:*
A membership fee of AED 5,000 will be applicable.
Terms & Conditions*

Click if you agree with our Terms & Conditions
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A membership fee of AED 5,000 will be applicable.