Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Email:

Directory Category:

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Entrepreneurial Membership: $150.00
Designed for businesses that are just starting out and have one person within their business model. Small Business Membership: $325.00
Designed for businesses with 2-10 Employees. This membership allows up to ten of your employees to attend events, network with like-minded individuals, and expand their networks and yours. Medium / Large Business Membership: $650.00
Designed for businesses with 11-50 employees. This membership allows up to fifty of your employees to attend events, network with like-minded individuals, and expand their networks and yours. Corporate Business Membership: $1,500.00
Designed for businesses with 50 or more employees. This membership allows each of your employees to attend events, network with like-minded individuals, and expand their networks and yours. Not-For-Profit Small Business Membership: $275.00
Designed for members with 501(c)3 , 501(c)6 or Non-Profit Status with the Government with 1-10 Employees. This membership allows up to ten of your employees to attend events, network with like-minded individuals, and expand their networks and yours. Not-For-Profit Large Business Membership: $500.00
Designed for members with 501 ( c ) 3 , 501 ( c) 6 or Non-Profit Status with the Government with more than 10 Employees. This membership allows each of your employees to attend events, network with like-minded individuals, and expand their networks and yours.

Additional Fees:

Application Fee : $50.00
One-time Joiner's Fee

Payment Option:

Bill me Charge my credit or debit card

Member Application

Mailing Address

Address

Address