Request edit access
American Business Group Invitation List Registration
Please complete this form if you would like to be on our mailing list.  All applications are subject to approval at our discretion. You many unsubscribe at any time by sending us an email.

*** Don't use all upper case, please! ***
Sign in to Google to save your progress. Learn more
First Name *
Don't use all upper case, please!
Last Name / Surname *
Don't use all upper case, please!
Job title / Role *
Company *
Industry or sector
Select the cities for which you would like to receive invitations *
You may choose one or more cities
Required
Contact details
The purpose of business networking is to help facilitate professional contacts.  Consider providing information to help other professionals contact you.
Primary email address *
This address will be used to send you lunch invitations
Secondary email address
This address will be used should your primary email address no longer work, i.e. you change employers or ISP
Office Phone (Landline)
Please include the country code. Use spaces to improve readability.  Example: +39 02 8888 9999
Mobile / Cell Phone
Please include the country code. Use spaces to improve readability.  Example: +39 348 888 9999
Instant Messenger Network
Specify which network your account is on
Instant Messager Account
Enter your account name for Skype, Microsoft, AIM etc.  Specify the network in the following choice too!
Website Addresses
Help people find you on the web!
Business website URL
Copy and paste from your browser to insure it is correct!
Personal website URL
i.e. if you have a blog or other personal site (use cut and paste from your browser)
LinkedIn Professional Profile URL
Copy and paste from your browser to insure it is correct!
Comments
We will do our best to consider your comments, but keep in mind we are volunteers!  Do not add addtional names here, every person must have their own registration
Under Italian law 196/2003 & successive, personal information is to be considered confidential. Please confirm you want to be added to our mailing list and your consent to your information being shared with other members (required). *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sean Michael Carlos. Report Abuse
Google Forms