IIBA Chapter Start-Up | Express Interest

IIBA Chapter Start-Up | Express Interest

Thank you for your interest in forming an IIBA Chapter in your area. Please provide the following information to start the process.

Chapter Name

What is the proposed Chapter name?

Chapter Name*

Geographic Area

Where will the proposed Chapter be located?

City*

State(s) or Province(s)

Country*

Postal or Zip Code(s)

Which Chapter is closest to the new Chapter?

Forming Members

Who will be the three key contacts in forming this new Chapter? These individuals will need to be active IIBA Members.

Primary Contact

First Name*

Last Name*

E-mail*

IIBA Member ID Number*

Secondary Contact

First Name*

Last Name*

E-mail*

IIBA Member ID Number*

Additional Contact

First Name*

Last Name*

E-Mail*

IIBA Member ID Number*

Please feel free to share any additional information

Additional Information

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