Subscription Form

We only have selected members.
Please fill out this form and we will notify you, within 5 working days, if you are qualified to join the Top100 People Club. You’ll receive a secret password to complete the subscription.

First Name *

 

Last Name *

Birth Date *

Gender *

Education level

Country *


Zip code *

City *

Address *

  

National insurance number/P.IVA - Social security number/COD.FISC. *

Occupation*

Role

Company Name


Email address *

 

Confirm Email *

Phone (insert national and area code)

Mobile phone (insert national and area code)

Tell us about yourself

Tell us about yourself and the reason why you want to join the Club*

 

Briefly describe the major goal you have achieved*

 

What are your hobbies?

 

Which are your interests? You can select more than one field

Arts and photographyFilm and theaterNightlifeBusinnessFinancePhilantropyCars and motorsFood and wineSportFashionTravelShoppingOther..

 

Why do you want to join the Top100 People Club? You can select more than one field*

Participate in the meetingsListen to the speaker of the meetingGeolocalize and contact other membersCompare yourself with the other membersPromote your businessStart new partnership (collaboration)Participate to interesting projectsLearn new skills/competence/abilityMeet inspiring peoplePropose your ideas and receive suggestionsOrganize your events and meetings (like business breakfast, etc.)Share your experience and know-howParticipate in the discussion forum on the Social PageRedeem incredible privilegesMeet interesting, brilliant and positive peopleIncrease your contact and improve your business

Attach your photo (max 5Mb) *

 

Attach your CV (max 5Mb) * (word o pdf)

 

Attach more files (max 5Mb) (word o pdf)

 

I hereby declare that the details furnished above are true. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.*

I have read and agree to the Terms & Conditions.*

 

CONTACT US

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