CEO Programme - Applications

RSM EBM Programme
Programme Dates
Please select the required dates

26th - 27th April (RSM Birmingham, St Phillips Point, Temple Row, B2 5AF)
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Please register below for the Effective Board Member Programme. By completing this form you give your consent to the governance forum processing your data for the purpose of registering you as a delegate on the programme, registering you for your OCN Accreditation where applicable and contacting you about the Effective Board Member Programme. Your data will be kept in line with our data retention schedule.

You can view our privacy policy here: http://www.thegovernanceforum.com/privacy-policy/
Full Name *

First Name Last Name
Date of Birth

- Month - Day Year
Date
Nationality

Address

Phone Number
Mobile Number *
E-mail *
Website
Twitter
If you would like your PA to handle your registration process please supply an email address
PA E-mail
Photo and Video Use Consent

I give my consent for the governance forum to use any photographs and video footage taken by the governance forum of or including me to be used for marketing as follows • Our website• Our social media channels• Our media outlets (newspapers etc)• Our future EBM marketing materials (including brochures, prospectuses, flyers etc)
I agree that I give consent for my images to be used
Billing Information

Please provide details of where your invoice should be sent if they are different to the address details above
Accounts Person *

First Name Last Name
Email
Company Name *

Address

Submit

Once you have completed the relevant information, please press submit. Thank you.
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RSM EBM Programme