The information submitted in this form will be considered confidential.  I-TEM does not disclose any information to our members or board of directors.  All applications will be reviewed by an independent non-competitive agency.
About You:      
Name Company
Title Website Address
E-mail Years in Operation
Are you interested in serving on the Board? Yes    No
    What is the most import benefit for you to achieve by joining I-TEM?
 
About Your Company's Management:    
CEO's name COO's (or equivalent) Name
CEO's Direct E-mail COO's E-mail
CEO's Direct Phone COO's Phone
CFO's (or equivalent) Name    
CFO's Email    
CFO's Phone    
 

About Your Company:

      
Current # of Recurring Revenue Clients    
Are you currently receiving any revenue from a telecommunications carrier? Yes    No    
If yes, please explain    
 

References:

  

The following information will be reviewed independently by a third-party organization.  The information you submit will not be viewable by any I-TEM member.
Client Reference #1

(longest standing client)

Client Reference #2
Name Name
Company Company
Title Title
E-mail E-mail
Phone Phone
       
Client Reference #3

Client Reference #4
Name Name
Company Company
Title Title
E-mail E-mail
Phone Phone

 

Online Application