2022 AMA Leadership Summit - Virtual Experience Registration

Name(Required)

First Last

Email Address(Required)

Phone(Required)

A personalized verification code will be sent to this mobile number granting access to the Leadership Summit virtual platform. Add a country code with the + if outside of the US and Canada (e.g., +4911111111).

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Chapter(Required)

Chapter Role(Required)

How many years have you volunteered with your chapter?(Required)

Company/Organization(Required)

Job Title(Required)

Number of Employees(Required)

Industry(Required)

Is this your first time attending Leadership Summit?(Required)

Yes

Demographics

The AMA is committed to building a pipeline of marketers that reflect the demographics of the population we serve. These demographic questions help our research team monitor our progress toward this diversity and inclusion goal. Help us know our community by telling us more about yourself. This information will not be shared with sponsors.

Race/Ethnicity Demographics

Race/Ethnicity Self-Identification

Gender Identity

Gender Self-Identification

Pronouns

Pronoun Self-Identification

2022 AMA Leadership Summit - Virtual Experience Registration

Demographics

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