Membership Application 2020
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 & 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.
Email address *
Participant's Full Name *
Participant's preferred pronouns:
Clear selection
Birth date: *
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I am applying to be a _______ tier member: (see chart below for membership types & monthly pricing) *
Membership Types and their Monthly Fees
What date would you like your membership to start? *
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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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