Membership Application

Pricing Information
  • Entrepreneurs
    Companies with 1 – 3 Total Employees
    $250
  • Corporate Membership Dues (Based on Gross Revenues)
    Less than $1 million
    $300
    $1 – $5 million
    $900
    $5 – $10 million
    $1,500
    $10 – $50 million
    $2,900
    $50 – $100 million
    $4,500
    More than $100 million
    $6,000
  • Professional Advisors (Based on Regional Professional Staff)
    1 – 5
    $750
    6 – 10
    $1,500
    11 – 50
    $3,000
    51 – 99
    $4,500
    More than 100
    $6,000
  • Investors (Based on Assets under Management)
    Angels/Angel Groups
    $500
    Less than $25 million
    $625
    $26 – $50 million
    $1,750
    $51 – $100 million
    $2,500
    $101 – $250 million
    $3,250
    More than $250 million
    $3,750
  • Institutions
    Universities
    $1500
    Economic Development Organizations
    $1500
    Not-for-Profit Organizations
    $1500

General Information

Membership Type

Regional Contact Information

Example: (xxx) xxx-xxxx ext. xxxx
Example: (xxx) xxx-xxxx ext. xxxx
http://www.example.com

Corporate Information

Example: 1976

Company Description

Classification Information

Please pick at least one and no more than three.

Primary Contact Information

john@example.com
Example: (xxx) xxx-xxxx ext. xxxx

CEO Contact Information

john@example.com
Example: (xxx) xxx-xxxx ext. xxxx

President Contact Information

john@example.com
Example: (xxx) xxx-xxxx ext. xxxx

CIO Contact Information

john@example.com
Example: (xxx) xxx-xxxx ext. xxxx

Marketing Contact Information

john@example.com
Example: (xxx) xxx-xxxx ext. xxxx