Application to Become a CFO Intelligence Middle Market CFO Member
Only CFOs and senior finance executives may apply for exclusive invitation-only membership
All information below will remain confidential. CFO Intelligence does not share member application information. CFO Intelligence reserves the right to accept or reject any application.
Middle Market CFO Membership
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Middle Market CFO Membership - Annual 2023
$
497.00
Date
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Salutation
*
Please Select
Mr.
Ms.
Mrs.
Dr.
Reverend
Professor
Honorable
Name
*
First Name
Last Name
Title
*
Business Email
*
example@example.com
Personal Email
*
example@example.com
Mobile Phone
*
Please enter a valid phone number.
Birthday
Please select a month
January
February
March
April
May
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July
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September
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November
December
This field is reqiured
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Please select a year
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Your Current Position
*
Actively Employed as a CFO
CEO, COO, President, Partner, Owner, Other (former CFO)
In-Transition Now or in the Next 12 Months
Other
If In-Transition, Upload Your Resume
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Your LinkedIn Profile
*
Your Company Experience (check all that apply)
*
Public companies
Private companies or family-owned business
Private equity
Tax-Exempt
Goverenmnt or education
I am not a CFO or finance executive
Other
Your Industry Experience (check all that apply)
*
Architecture, engineering, construction, infrastructure
Consumer brands, products & services
Financial services
Food & beverage
Healthcare
Hospitality & travel
Legal, accounting, consulting & business services
Life sciences
Manufacturing & distribution
Retail & restaurants
Technology
Transportation
Other
Previous employers
*
I am Interested In
*
Being considered for a Featured CFO story in CFO Intelligence magazine
Appearing in a CFOs in Motion video interview
Leading a conversation at a CFO Dinner Discussion or other event
Sharing my insights in an on-stage presentation
Promoting my company
Meeting peer CFOs
Writing a column in CFO Intelligence magazine
Participating in an Industry Sector Group
Attending CFO events
Other
Military Service
None
Army
Navy
Air Force
Marines
Coast Guard
Space Force
Other
Your Hobbies and Personal Interests
Upload Your Headshot (Full color, 300 dpi, high resolution photo, please)
Browse Files
Drag and drop files here
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Full Company Name
*
Input “Individual” if in-transition
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website
*
Company Type
*
Please Select
Public
Private
Private Equity
Tax Exempt
Government
Higher Education
Other
Industry
*
Please Select
Acctg, Auditing, Bookkeeping, Payroll
Advertising, Marketing, Public Relations
Aerospace and Aircraft
Agriculture, Farming and Forestry
Amusement & Recreation Services
Antiques & Collectibles
Apparel, Garments, Accessories
Architecture
Art
Associations, Chambers & Societies
Associations: Realtor Boards
Automotive Related
Business Networks - For Profit
Business Services
Call Centers and Customer Care
Catering, Events, Meetings
Chemicals
Child Care
Cleaning, Maintenance
Communications
Computers: Hardware & Systems
Computers: Internet Related
Computers: Sales & Service
Computers: Software and Applications
Conglomerate
Construction Equip, Materials, Services
Consulting
Consumer Products
Consumer Services
Corrugated and Solid Fiber Boxes
Cosmetics
Crafts & Supplies
Dairy Products
Data and Disaster Recovery Centers
Decorating & Furnishings
Defense Related
Delivery & Messenger Services
Distribution, Logistics, Warehouse
Education – For Profit
Electronics
Energy Related, includes Alternatives
Engineering Services and Consulting
Entertainment, Recreation, Sports
Environmental
Equipment and Machinery
Expert Networks
Facilities Support Services
Financial Services
Fitness Facilities
Flavors, Fragrances, Aromas
Food & Beverage
Government Contractor
Healthcare Related (Not Medical)
Holding Companies
Home Furnishings
Hospitality, Hotels, Lodging
Industrial Supplies
Information and Data (Not IT Services)
Investors (Not Advisors)
IT Consulting and Services
Landscape and Horticultural Services
Law
Life Sciences
Life Sciences: Biotechnology
Life Sciences: Clinical Testing & Trials
Life Sciences: Pharmaceuticals
Logistics, Transportation, Trucking
Mailing, Reproduction, Stenographic
Manufacturing, Mills, Mining
Maritime, Shipping
Market Research
Media
Media: Newspapers and Magazines
Media: TV and Radio
Medical: Doctors and Dentist
Medical: Equipment
Medical: Hospitals, Surgery, Imaging
Medical: Laboratories
Medical: Related Services
Miscellaneous
Moving and Rigging
Office Equipment, Furniture & Supplies
Packaging
Personnel and Employment Agencies
Politics and Political
Printing
Publishing: Books
Publishing: Music, Recording
Real Estate
Recycling
Research (Technology, Etc)
Retail
Sales Companies
Schools and Education - For Profit
Scientific Instruments
Security Services
Self-Storage Facility
Services
Sign Making
Social Services
Tax Exempt - Charities
Tax Exempt - Education
Tax Exempt - Government Entity
Tax Exempt - Religious
Taxi & Limousine Services
Technology
Textiles
Tourism and Travel
Unions
Unknown
Veterinary and Animal Services
Video Production
Annual Revenue
*
Under $50 million
$51 million to $100 million
$101 million to $500 million
$501 million to $1 billion
Above $1 billion
# of Employees in North America
*
Primary Product or Service
*
May we publish that you have become a CFO Intelligence member?
*
Please Select
Yes
No
May we mention your title and company name when we publish that you have become a member?
*
Please Select
Yes
No
Would you like to provide a quote for us to publish?
Email me info about CFO Intelligence and related matters
Yes
Referred By
*
Please Select
Ray Reaves
Andrew Zezas
No one
I have read and accept the CFO Intelligence Membership Agreement
Jotform Source
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Day
Year
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Payment Methods
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