Application - Virtual X Plus - Non Exec Director
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Company Name *
Contact Name *
What is your role in the business? *
Email Address *
Direct Telephone
What does your business do?  (eg. architect etc) *
What are your long term aspirations for your personal life & business? *
Business website *
Which Non Exec Director would you like to work with? *
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Approximately, what was your revenue, for the last 12 months trading? *
Which board roles do you already have in place? *
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Any other comments?
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