The application form is available for download in Adobe Acrobat PDF format here. This requires the Adobe Acrobat plugin - free here.

Alternatively, this page should print off the form.

Name :

Address :

County :

PostCode :

Telephone :

Fax :

E-Mail :

Please charge the sum of £200 to my credit card :

Card No. :

Expiry Date :

Cardholder Signature :

Cardholder Name :

Or : A Cheque for £200 payable to Madison Consultants Ltd is attached

In less than 75 words, please let us have the wording of your FREE advertisement in next month's newsletter:

If you wish to join the NEDExchange register of Non-Executive Directors, please attach an up to date CV - please ensure you include:

1. Your professional qualifications, 2. The types of industries you have worked in [e.g. manufacturing, banking, insurance etc.], 3. The experience you have had as a Director, 4. Your functional experience [e.g. finance, law, sales, computing, entrepreneurial, general management, international, marketing]

In less than 100 words, outline why a prospective Client should appoint you as their Non Executive Director:

 Tick here if you are interested in appointing a Non Executive Director for your organisation. Please telephone us on 01494 483728 or e-mail us if you would like to discuss your requirements. A selection of the executives looking for NED appointments can be found at www.NEDExchange.co.uk