DirectorConnect

Today's directors face a whole new set of expectations. As you move past box-ticking and compliance, you are likely trying to better understand how you can be effective and strategic in the boardroom. That's why we've created DirectorConnect.

By joining the DirectorConnect community, you will receive:

• Invitations to PwC events
• A free e-newsletter (delivered bimonthly) highlighting new content on the DirectorConnect website, including current events, news and thought leadership

Instructions:
1. Please complete the entire form.
2. When complete, select the "Submit" button below. If you leave this page before clicking "Submit," your information will be lost.

Note: Fields marked with () are required.

Salutation Dr. Madame Me Monsieur Mr. Mrs. Ms. Rev. Sister

First Name

Last Name

Company

Business Email Address

	Address
	City

Province / Territory or State -- Canada -- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory -- USA -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Postal Code / ZIP

Telephone (Include area code.)

Fax (Include area code.)

Position Current or Past Director Company Executive Regulator Consultant Academic Student PwC Partner/Staff PwC Alumnus Other

If 'Other,' please specify:

Current Board Appointments

How did you hear about this program?

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