Membership Application 2022
This is an application for those who wish to be members of The WorcShop at 11 Hankey St, Rochdale MA.
Once your application has been reviewed, we will send you an invoice for your first payment, contact you to set up an intake interview, and issue you a keycard for access to our building. We are an inclusive makerspace and business incubator dedicated to creating a space where people have access to the tools they need to create anything they can imagine.
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Email *
Participant's Full Legal Name: *
Participant's Preferred Name: *
Participant's preferred pronouns:
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Birth date: *
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Membership Types and their Monthly Fees
I am applying to be a _______ tier member: (see chart below for membership types & monthly pricing) *
If you're intending to get a Family, Entrepreneur, or Organizational membership, please list the family/business/organization name.
If you're a supporting member, please let us know how much you'd like to spend to support us each month.
What date would you like your membership to start? *
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Would you like to rent space?  *
Primary Phone Number *
Secondary Phone Number
Mailing Address (Street, City, State, Zip Code) *
Emergency Contact: (Name, Phone Number, Relationship to you) *
Are you over the age of 18? *
Required
Do you own your own business? *
If you own your own business, tell us about it! (Include links to your social media if possible!)
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