Application - Chief Executives Club of Rhode Island

CHIEF EXECUTIVES CLUB

RHODE ISLAND

Exclusivity Connections Insights

NEXT MEETING

July 15th 7:30am

William Rothwell

Building Talent
from Within

Membership Application

1. Submit Application 2. Submit Payment 3. Board Approval

Membership in the Chief Executives Club of Rhode Island is available only by personal invitation from a member and requires the approval of the board and general membership.

If you have received an invitation to become a member and meet the requirements of membership, please complete the entire application and click the "Submit" button.

Full Name:
Title:
Company:
Address:
City:
State:	Zip:
Office Phone:	Ext:
Cell Phone:
Email Address:
Spouse's Name: (or companion's name)
Assistant's Name:
Assistant's Phone:	Ext:
Assistant's Email:
Alternate's Name:
Alternate's Phone:	Ext:
Alternate's Email:
Type of Business:
Annual Sales:
Employees:	RI: US: Other:
Nominated by:
Agreement:		I have read and agree to abide by the Club Membership Principles
Payment:

Membership Dues & Initiation Fee Payment Options:
□ 1 year dues ($2,400) plus new member initiation fee ($1,600) = $4,000
□ 2 years dues ($4,800) plus new member initiation fee ($800) = $5,600
□ 3 years dues ($7,200) plus new member initiation fee ($–0–) = $7,200

Dues cover all the costs of full participation including: speakers, meeting venues, meals, books and shipping, etc. There are no additional costs or fees for participating in the eight monthly meetings and two annual social events.

EXCLUSIVITY

Chief executives of
multi-million and billion dollar corporations
sharing challenges and
solutions in a safe and
intimate setting

CONNECTIONS

A peer network of
independent thinking
partners — seasoned
chief executives who
are available to provide
objective feedback

INSIGHTS

Top thought-leaders,
issue-focused round-
table discussions,
tough questions,
valuable insights