GADC Investor Application

INVESTOR APPLICATION

To become a GADC investor, please complete all information requested below. Upon receipt of this form, GADC will email you an invoice or a link for a secure credit card payment for the investor level you selected. Once GADC receives your investor payment, we will add you to our contact list for announcements, newsletters and events. Additionally, GADC adds your company to the GADC investor listing on our website with a link to your company's website. Paris Mountain and Blue Ridge Investors' listing shows their logos if provided to GADC. The Blue Ridge Investor's listing includes a brief description of your company's products and services.
Greeting

Mr.Mrs.Ms.Dr.
Primary Contact for Billing and Updates*

First NameLast Name
Title
Company Name
Type of Company
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Cellular Number
Work Phone Number*
Cell Phone Number
Please enter a valid phone number.
Website
Investor Level*
Select payment type (i.e., Send Invoice or Send Link for Secure Credit Card Payment)
Paris Mountain and Blue Ridge Investors: Please upload your company logo for the investor listing on the GADC website.

Cancelof
Blue Ridge Investors: Please provide a description of your company for the Investor listing on GADC website.
Additional Company Contacts

Paris Mountain Investors are allotted two additional company contacts for our newsletter and event invitations.
First Name   Last Name   Email

First Name   Last Name   Email
Additional Company Contacts

Blue Ridge Investors are allotted four additional company contacts for our newsletter and event invitations.
First Name   Last Name   Email

First Name   Last Name   Email

First Name   Last Name   Email

First Name   Last Name   Email
Signature

Powered by Jotform SignClear
Signing Date

MonthDayYear
Date
Should be Empty:

INVESTOR APPLICATION

Additional Company Contacts

Additional Company Contacts