Online Membership Form

Welcome to our Online Membership Form. Please fill in the details below to join our community.

Name *

Pronouns

Phone Number *

Email *

We will never share your email with anyone else.

Company (if applicable)

Website Address

Is it OK to publish your name, company, position, and website on our online directory and newsletter? Your personal information (phone, address) will be kept private. *

If you would like to be announced and included in our member spotlight, please include a short bio if you haven't shared yet on the member portal:

What are you working on?

What can you help others with?

What are you looking for help with?

Three words that describe you:

Your secret skill:

Birth Month

Birth Day

Please choose a 4-digit door access code (assigned after our in-person welcome meeting and this membership agreement is signed) *

Will you need a mailbox suite number? *

How did you hear about us? *

Choose from the options below or type in any other sources that you would like to specify.

Please attach your headshot photo

Click to choose a file or drag here

Size limit: 25MB per file

Would you like to be contacted about getting your headshot taken?

Signature *

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