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Member Application Form

Thank you for your interest in becoming a Member of C100! In order to be considered for immediate membership, you must list at least one currently active C100 member as a sponsor on your application.

 As soon as your sponsor confirms their sponsorship of your membership you will be sent a membership payment form to complete as the final stage before becoming a member. Membership dues are $650 USD/year to be paid monthly or annually. 

 If you have other questions about membership, please take a look at the Membership FAQs here. 










PROFESSIONAL INFORMATION






SPONSORS


In order to be considered for membership, you must be sponsored by at least one active Member or Charter Member.

 

Please list your sponsor names and emails belowOur team will reach out to validate sponsors and will be in touch with instructions on how to proceed with your application. Note: This process may take anywhere between 1-6 weeks (depending on the speed of response from sponsors).

 

Don’t know any members yet? No worries! Please join us at an upcoming C100 event to meet the community and learn more about membership.



















Membership Application

Optional Questionnaire:

 

The more we know about you, the better we can serve you. Help C100 offer you programming aligned to your interests by answering the questions below.


INTERESTS AND CONTRIBUTIONS TO C100



EDUCATIONAL BACKGROUND







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