New Membership Information & Agreement
Please complete the following form.
Primary Contact First & Last Name *
Primary Contact Email Address *
Company, Group, or Project Name *
Primary Contact Phone Number *
Company, Group, or Project Website *
What Industry Are You In? *
What Is The Mission/Why Of Your Company, Group, or Project? *
Type Of Company, Group, or Project *
What Is Your Desired Start Date? *
Desired Membership Level *
Number of Social Memberships Requested *
Number of Conference Room Memberships Requested *
Number of Floating Memberships Requested *
Number Of Dedicated Desk Memberships Requested *
Number of Tiny Houses Memberships Requested *
Where Are You Currently Working? *
Do You Know A Current CREDO Conduit Members? *
If Yes, provide CREDO Conduit Member's First & Last Name
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