Membership Form - Contact Centre Forum

Company details

Company name

Head office address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Postcode

Telephone number

Membership requested by

Applicant's name

First

Last

Job title

Email address

Address or site (if different from the head office)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Telephone number

Mobile number

Information about the organisation

Nature of the business

Sector

Number of employees in the contact centre

Number of employees on site

Head of Contact Centre (if different)

Head of Contact Centre name

First

Last

Head of Contact Centre email address

Head of Contact Centre telephone number

Additional contacts for communications

Director (name)

First

Last

Director (email address)

Head or Manager of Operations (name)

First

Last

Head or Manager of Operations (email address)

Head or Manager of Training (name)

First

Last

Head or Manager of Training (email address)

Head or Manager of Planning (name)

First

Last

Head or Manager of Planning (email address)

Head or Manager of HR (name)

First

Last

Head or Manager of HR (email address)

Additional contact 1 (name)

First

Last

Additional contact 1 (position)

Additional contact 1 (email address)

Additional contact 2 (name)

First

Last

Additional contact 2 (position)

Additional contact 2 (email address)

Membership level

Primary Forum to join?

Will a PO number be required to process our invoice?

Declaration

The information I have provided is correct and the applicant I am authorised to submit the membership application on behalf of the organisation

I confirm

Planning 2 number

Signature

Clear Signature

Applicant's name (declaration)

First

Last

Date

London Contact Centre Forum online membership application

Company details

Membership requested by

Information about the organisation

Head of Contact Centre (if different)

Additional contacts for communications

Membership level

Declaration

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