ACA Group Membership Form

ACA Group Membership Application
Name of Organization*
Contact Person' Name*

First NameLast Name
Contact Person's Title / Role*
Contact Person's Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Website
GROUP CHARACTERISTICS & STRUCTURE

Provide insight in to your group's vision, investment focus, and wider connection to the early stage ecosystem.
Year org Established*
How many Investors are part of organization?*
Is accreditation a requirement for individuals to join your group? *

YesNo
Describe the mission / vision of the organization*
Choose your current group membership profile - select all that apply*

Angel InvestorsInstitutionsED ProfessionalsService ProvidersEntrepreneursOther
If other, please describe the additional membership profile:
Is this group actively reviewing and making investments (select all that apply)?*

Not yetWe are accepting and reviewing deals for investmentWe are actively making investmentsOther
What is your group's investment structure

NetworkFundNetwork with a SidecarOther
If your group has a fund, what is its size?
How are investments made in the group?*

An LLC is formed for each investmentIndividuals invest with different termsIndividuals invest with identical termsOtherOur official fund makes investmentsSidecar fund
If 'Other', describe
Are there any defining factors around an investment thesis or entity (university connection, women founders, impact criteria, etc.)
Investment sector taxonomy for ACA members

Energy: EnergyMaterials: MaterialsIndustrials: Capital goodsIndustrials: Commercial & Professional ServicesIndustrials: TransportationConsumer Discretionary: Automobiles & ComponentsConsumer Discretionary: Consumer durables & apparelConsumer Discretionary: Consumer servicesConsumer Discretionary: RetailingConsumer Staples: Food & staples retailingConsumer Staples: Food, beverage & tobaccoConsumer Staples: Household & personal productsHealth Care: Health care equipment & servicesHealth Care: PharmaceuticalsHealth Care: Biotechnology & life sciencesFinancials: BanksFinancials: Diversified financialsFinancials: InsuranceInformation Technology: Software & ServicesInformation Technology : Technology hardware equipmentInformation Technology: Semiconductors & semiconductor equipmentCommunication Services: Telecommunication servicesCommunication Services: Media & entertainmentUtilities: UtilitiesReal Estate: Real Estate
How did you hear about Angel Capital Association?

ACA Weekly eNewsACA Event MailerWebsiteTwitterFacebookLinkedInReferral from AcquaintanceOther
Please affirm: I understand the Angel Capital Association is an investor-focused organization and all access and benefits are available to staff and member investors only.*

I agree
Please affirm: This investor group is not operating as a broker/dealer*

I agree

Membership Type

Full Membership: Group of up to 70 Investors

$1,150.00

Full Membership: Group of 71-100 Investors

$1,725.00

Full Membership: Group of 101-200 Investors

$2,020.00

Full Membership: Group of 201-350 Investors

$2,300.00

Full Membership: Group of 351+

$5,000.00

Provisional MembershipInvestor networks & funds in formation; not yet making investments.

$1,150.00

Family Office

$1,150.00

Enter coupon

Total

$0.00

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ACA Group Membership Application

GROUP CHARACTERISTICS & STRUCTURE