FUTURO Employer Advisory Board  (EAB)  Application Form
Please complete this form if you are interested in becoming a member of the FUTURO Employer Advisory Board. The cost for participation is $300 per year.  In-kind contribution or waivers may be considered in lieu of fee for EAB Membership is available for sponsors and/or non-profit organizations.  If you have any questions, please contact Jennifer Novo at 615.601.0783 jennifer.novo@futuroisnow.com or EAB chair Robert Wilson robert.wilson@cultureshiftteam.com.

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Company / Organization *
Who will represent your organization on the EAB? Please provide full name. *
Title / Position *
Phone Number *
Email *
Mailing Address *
Please select fee: *
Please send invoice to *
Will your organization participate in our Fall and Spring Conference?
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Billing Contact Name (if different than above)
Billing Contact Phone
Billing Contact E-mail
Billing Address
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