Application Form

Director Climate Journey

First Name

Please use the email address you’d like us to send programme information to

Last Name

Phone

Please use the international format with no spaces. For example: +32473234567

Company(ies)

Members of one of the following organisations receive a 10% discount on the registration fee.

I am a member of:

Vlerick Alumni

Chapter Zero Brussels

Guberna

The Shift

Belgian Family Business Network

De Bestuurder subscribers

Women on Board

2030 Alliance for Sustainability

Please invoice the below address

Company Name (if applicable)

VAT Number (if applicable)

Street Address

City

Postal / Zip code

Country

What knowledge and skills do you want to develop on this programme?

How will this learning journey change your behaviour and interactions at board level?

Anything else we need to know?

I hereby accept and approve the individual Membership Charter.

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Contact

E-mail: hi@theshift.be
The Shift vzw
Wolstraat 68-72 Rue aux Laines, 1000 Brussels
Company number: BE0628.927.412

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