ITWALES.COM - Registration Form for the IT Wales Business Club

Application for Membership

I understand that my details will be held on a database, that IT Wales will contact me periodically with news and events and that IT Wales will not make my details available to a third party without my consent.

The IT Wales Business Club provides a platform for Welsh business to network on a regular basis through a variety of events. All events aim to encourage business to operate more effectively and profitably, and to become more competitive in the Welsh and global economies.

* Membership is available to residents of the United Kingdom only.

I would like to be enrolled as an IT Wales Business Club Member
I would like my company details to be listed in the IT Wales Business Club Members section

* indicates a required field

Company Name*:
Contact Name*:	Title*:	First Name*:	Surname*:

Company Address*:	Address Line 1*:
	Address Line 2:
	Address Line 3:
	City/Town*:
	County:
	Postcode*:

Phone Number*:			Mobile Number:
Email*:			Web Address:
Nature of Business:
Number of Employees*:

How did you hear about ITWales?*

For security, please enter the code you see in the box above before submitting:
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