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Join The Presidential Inner Circle

Registration does not constitute an obligation to join the Presidential Inner Circle. However it does provide you with precedence should you decide to be part of this select group, and a phone call from an Executive Ambassador,  who will introduce you to the smorgasbord of members privileges and benefits as well as answering any questions you may have in a personal meeting.  Then the Executive Ambassador will organise an interview with the CEO, Phil Jones.

Prioritise your access to the Worlds Intimate and Exclusive Private Club and fill in your details now.

"The quality of your life is not determined by the level you're on, but by the level you rise to"

First Name:*
Last Name:*
Attach a photo of yourself:
Gender: * Male Female
Marital Status: *
Date of Birth:*
Postal Address:*
City::*
State:*
Zip Code::*
Country::*
Phone:*
Cellphone: *
Business : *
Fax:
Email Address:*    
Confirm Email Address:
Password:*
Confirm Password:*
Company:*
Occupation:*
Company Website: *
Position/Title: *
Interests:
Dream Holiday Destination:
Person you admire the most and why:
Why do you aspire to be a part of the Presidential Inner Circle:*
Professional Strengths:
Personal Strengths:
Passions in Life:
Other Organisations you belong to:
Charities you support:
Education Level:
Course / Workshops you have attended :
Course / Workshops you have spoken at:
Biography:
Next of Kin:*
Relationship to you:*
Next of Kins Phone Number:*
 
The Presidential Inner Circle Board of Governors will require two references:
Reference 1:          
First Name: * Surname:* Contact No: *
Reference 2:          
First Name:* Surname:* Contact No: *
 
  I would like to recommend as a speaker for a Presidential Circle event.
Additional Notes:
Date of Application:*
What Membership Level are you Applying for:*
How did you come to hear about this private club: *
  I confirm I have read and fully understand the terms and conditions as attached and acknowledge that my contact details may be provided to third parties when required for security purposes only.
* Thank you for your interest, we will process your application within 7 business days.
Warm Regards
Phil Jones
Presidential Inner Circle CEO
 


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