Enterprise Architecture Application Form - Society for Information Management

Enterprise Architecture Application Form

List Additional Company Representatives Below:
First Name *
Last Name *
Professional Title *
Organization *
Address Line 1 *
Address Line 2 *
City *
Location (State/Province/County) *
Zip/Postal Code *
Email *
Phone *
# of yrs. in EA space?
Area of InterestWhat is your preferred area of interest for this working group?
Potential TopicsWhat topics would you like to see the working group cover?
SIM Chapter MembershipSIM membership is required for at least one of the individual WG members & all are encouraged to be SIM members. Are you interested in additional info on your local SIM Chapter?
If yes, which chapter?
Please note: Member companies are allowed an unlimited number of reps. Contact Veronica Sullivan (vsullivan@simnet.org) if you have more than ten, or if you have changes to your current list of reps.
Rep 1 Full Name
Rep 1 Email
Rep 2 Full Name
Rep 2 Email
Rep 3 Full Name
Rep 3 Email
Rep 4 Full Name
Rep 4 Email
Rep 5 Full Name
Rep 5 Email
Rep 6 Full Name
Rep 6 Email
Rep 7 Full Name
Rep 7 Email
Rep 8 Full Name
Rep 8 Email
Rep 9 Full Name
Rep 9 Email
Rep 10 Full Name
Rep 10 Email

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