NIRI Senior Roundtable (SRT) Membership Application

1. I have a minimum of ten years of experience in investor relations and meet the Senior Roundtable eligibility requirements. *This question is required.

2. I am a current NIRI member in good standing. *This question is required.

3. First name: *This question is required.

4. Last name: *This question is required.

5. Company Name: *This question is required.

6. City:

7. State/Province/Territory:

8. Email address: *This question is required. This question requires a valid email address.

9. Phone Number *This question is required.

10. Attach Resume *This question is required.

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