Personal membership

    First name*

    Last name*

    Primary job title*

    Address*

    Zip code*

    City*

    Phone*

    E-mail*

    Company

    CVR-number

    Company address

    Company zip code

    Company city

    Enter board experience and elaborate on which of the criteria stipulated in § 4.2 each of the board experiences relate to*

    Enter additional relevant experience and elaborate on which of the criteria stipulated in § 4.2 each of the experiences relate to*

    Shortly explain why you wish to become a member in the Board Leadership Society*