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Building Black Professional Leaders for the Future
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Complete this form to join the Career Nuggets C-Suite Ladies Club
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Name
*
First
Last
Email
*
Address Number attending
What is your position at work? (Example Director, Senior manager, etc)
*
Postal Address
*
Phone Number (WhatsApp)
*
Can you commit to attending at least ONE in-person event during the year?
*
Yes
No
Maybe
Will you be able to attend online calls? (We use the ZOOM App which is free to download on phone, tablet or computer)
*
Yes
No
Yes but I would need guidance.
Name 1 key area you would like help with.
*
How did you hear about this program?
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Website
Friend
Newsletter
Event
Other
Comments or Questions
Notes
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Annual Membership fee is £199. Fee includes 1 free ticket to the Career Nuggets Annual Soiree (worth £140) Click Submit to send in your application. Details of how to pay are on the next page (take a photo or a screenshot)
Click Submit to send in your application.
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