Propose a prospect for Round Table (Form)

Please use this form to share information of a person you consider would fit into Round Table. These answers will be collated and shared with the respective national board for follow up with the prospective member.

By submitting this form, you agree that the information provided herein is correct to your knowledge and that the person has agreed for this information to be shared.
Please enter the name of the person you are recommending for potential membership:*
What country is this person residing in:*
What city is this person residing in?:*
Please enter their email address:*
If known, please enter their cell number as well as the applicable country code:
Please enter their current age in years:*
Please enter a number from 18 to 38.
Please enter their profession:
How well do you know the candidate?:*
about you:
Your Firstname and Lastname*
Your Club*
Your EMail*
By submitting this form, you agree that the information provided herein is correct to your knowledge and that the person has agreed for this information to be saved and processed*
- Yes

about you: