Startup League Rewards Program
Starting and growing a business is not easy, so BRAND of St. Louis is rewarding your efforts to stay focused on the journey. The Startup League Rewards Program rewards entrepreneurs, creatives, and intrapreneurs who Build their Brand, Build their Network, and Make an Impact. This registration form will take approximately 3-5 minutes to complete. Once your registration form and annual fee are processed, you will receive access to your Startup League materials and be able to start earning rewards for working on your business!
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Startup Information
Company Name
*
Company Address
*
Company Website
Company Description
*
Company Logo
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Date of Formation
*
-
Month
-
Day
Year
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Structure
*
For-profit
Non-profit
Other
Annual Revenue
*
Industry
*
Number of Full-time Employees
*
Number of Part-time Employees
*
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Member Information
Member Full Name
*
Title
*
Short Bio
*
Headshot
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Mailing Address
*
Email Address
*
Birth Date
*
-
Month
-
Day
Year
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Highest Level of Education
*
HS Diploma
Associate
Bachelor's
Master's
Doctorate
Other
Gender Identity
*
Woman
Man
Non-binary or Genderqueer
Agender
Prefer Not to Say
Race / Ethnicity Identity
*
African
African American/Black
American Indian/Alaskan Native
East Asian
Hispanic
Latinx
Middle Eastern
Pacific Islander
South Asian
Southeast Asian
White/Caucasian
Mixed Race / Two or More Races
Prefer Not to Say
Would you like to register additional members?
*
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Member Information
Member Full Name
*
Title
*
Short Bio
*
Headshot
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Choose a file
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of
Mailing Address
*
Email Address
*
Birth Date
*
-
Month
-
Day
Year
Date Picker Icon
Highest Level of Education
*
HS Diploma
Associate
Bachelor's
Master's
Doctorate
Other
Gender Identity
*
Woman
Man
Non-binary or Genderqueer
Agender
Prefer Not to Say
Race / Ethnicity Identity
*
African
African American/Black
American Indian/Alaskan Native
East Asian
Hispanic
Latinx
Middle Eastern
Pacific Islander
South Asian
Southeast Asian
White/Caucasian
Mixed Race / Two or More Races
Prefer Not to Say
Would you like to register additional members?
*
Yes
No
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Member Information
Member Full Name
*
Title
*
Short Bio
*
Headshot
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Mailing Address
*
Email Address
*
Birth Date
*
-
Month
-
Day
Year
Date Picker Icon
Highest Level of Education
*
HS Diploma
Associate
Bachelor's
Master's
Doctorate
Other
Gender Identity
*
Woman
Man
Non-binary or Genderqueer
Agender
Prefer Not to Say
Race / Ethnicity Identity
*
African
African American/Black
American Indian/Alaskan Native
East Asian
Hispanic
Latinx
Middle Eastern
Pacific Islander
South Asian
Southeast Asian
White/Caucasian
Mixed Race / Two or More Races
Prefer Not to Say
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How did you learn about the program?
If a current member referred you to the program, please share their name.
Registration
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Annual Membership Fee
$
149.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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submit
the form.
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