ACG St. Louis Membership Application

Membership Application

Thank you for your interest in joining the St. Louis Chapter of the Association for Corporate Growth. Please complete this form to apply for membership.
Name*

First NameLast Name
Organization*
Title*
Address*

Street Address

Street Address 2

CityState / Province

Postal / Zip Code
Address Type*

BusinessHome
Phone Number*
Please enter a valid phone number.
Phone Type*

BusinessMobileHome
Email*
example@example.com
LinkedIn Profile*
Please provide a link
Referral

Tell us how you learned about ACG St. Louis
Please select one:*

ACG St. Louis MemberMember of Another ACG ChapterAttended an ACG STL EventEmail CommunicationWebsiteOther
If referred by a member, please share their name and organization:

First NameLast Name
Organization
Your Feedback is Requested

To aid in the Membership Committee's review, please complete and provide feedback to the following:
Membership Type:*

General MemberYoung ACG Member*
*A Young ACG Member is restricted to those individuals who are 40 or younger at the time of application. A discounted membership rate is available the first two years of membership and then will increase to the amount of the general membership in year 3 and beyond.
Individual Type:*
Individual Types Include:

Corporate
A member who works for a company (public or private) and whose job description includes growing the company organically, through acquisitions, divestitures, joint ventures, alliances, strategic planning, product development, licensing, franchising, etc.

Capital Provider
A member who works for an equity group (officer, VP or above) and whose job description includes purchasing ownership interests in companies (public or private) for the purpose of growing the companies through internal growth, add-on acquisitions, consolidations, joint ventures, alliances, licensing, franchising, etc. with the ultimate goal to exit from the investment through a partial or complete sale of the company to a third party, a recapitalization, or an IPO. Member is an officer, VP or above.

Advisor
A member who generates income from providing services to corporate and/or equity group member.

Intermediary
Member is an intermediary whose services include bringing buyers and sellers together and/or identifying sources of debt and equity financing.

Other
A member who works for a college or university, employed by the government or a non-governmental organization, or works for an organization that does not fit any of the above categories.
Business Description:
List any ACG events you have attended:*
How are you responsible for growth in your organization?*
ACG St. Louis Membership Application Next Steps
ACG St. Louis General Membership: $795
ACG St. Louis Young ACG Membership: $695
- Membership in ACG St. Louis is on an individual basis.
- ACG St. Louis is an approval chapter with all applicants pending Membership Committee approval based on our membership criteria.
- Upon reciept, your application will be shared with the Membership Committee for review and approval. The committee meets once a month, generally on the 2nd Wednesday.
- Once approved, you will be provided with instructions to login to My ACG and complete the application and dues payment within the system.
- Advisor and Other individual types may be asked to recruit one Corporate member to join ACG St. Louis before their membership is activated.
- Questions, contact ACG St. Louis at acgstlouis@acg.org.
Thank you for your interest in joining ACG St. Louis!
Should be Empty:

Membership Application

Referral

Your Feedback is Requested

ACG St. Louis Membership Application Next Steps

Thank you for your interest in joining ACG St. Louis!