1). I, the undersigned hereby give my consent to LEAD to make copies of this form and any documents submitted with it and to process my personal data in connection with my application for registration in the LEAD directory.
2). I, the undersigned hereby acknowledge that I will notify LEAD of any changes in the data provided in this form.
3). I, the undersigned give my consent to LEAD to disclose information and data, that I have submitted, to prospective board recruiters.
By signing below, I confirm that the information provided in this form is complete, accurate, up to date and not misleading.
I undertake to pay registration fees before my application is accepted. I accept and acknowledge the terms and conditions; and agree to abide by them.