Lawrence Center for Entrepreneurship Membership Application
Please provide the following information. Information provided will be kept confidential and is secured using SHA1 2048 bit encryption.

Memberships cost $50 per member per month and come with the following services:

- Use of the co-working space. 24 hour access is available after background check is completed.
- Use of the prototyping facility during operating hours (6 AM to 11 PM - 7 Days).
- Scheduled use of the conference room for business meetings / presentations.
- Virtual 64 bit server with 1 processor, 2 GB RAM, 30 GB hard disk space, 1 Gigabit NIC. 1 Mbps of dedicated bandwidth is provided.

Members pay first and last month's membership fees at the time of signup along with a one time $35 fee for the manditory background check.

Our staff will contact you to to arrange payment and access once your application has been processed and approved .

To keep costs under control the center only accepts payment in the form of ACH auto-debit.
First name *
Middle name
Last name *
Home address *
Mobile number *
Enter a phone number in ###-###-#### format
Email address *
Primary purpose *
What is the primary purpose behind your use of the Lawrence Center for Entrepreneurship facility?
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