IIBN Corporate Membership Application Form

IIBN Corporate Membership is open to all Irish business professionals, or those with an affinity to Ireland, who have demonstrated a successful track record in their respective profession. Corporate Membership allows for three interchangeable spaces at IIBN events. Please contact IIBN directly at info@iibn.com if you require a bespoke Corporate Package for London and Ireland and email newyork@iibn.com for queries re IIBN NY Membership.
Membership subscription can be completed online at www.iibn.com. Offline payments for London and Ireland can be made payable in sterling to 'IIBN Ltd' and posted to 15 Greycoat Place, London, SW1P 1SB. Bank details available upon request.
Members are also requested to complete the following membership form and return by email to info@iibn.com. Details on General (individual) or Patron Membership or Sponsorship opportunities can be found online at www.iibn.com.

Chapter

Please Choose Primary Chapter to which you wish wish to be affiliated. (Normally the Chapter where you are)
London £400 Ex VAT (3 spaces)
New York $500 (5 spaces)
Ireland 400 euro Ex VAT (3 spaces)


Company Name


Applicant Names

Titles

Postal Address

Email Address

Back up email address


Website


Phone Number


LinkedIn


Twitter Handle


Company Profile
Please provide a short outline of your company profile (Location, Size, Turnover etc..)

Sector


Key Interest Areas

How Do We Connect You ?
As a Member of IIBN are you Happy to be connected via the Executive to other member who have a potential business interest ? (Introduction is usually via email.)


If you are happy to be introduced to IIBN Members how would you like to connected?