Member Application
Please provide all required details
Applicant Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Email
*
example@example.com
Contact Number
*
Format: (000) 000-0000.
Business Name
*
DBA (if applicable)
FEIN
Type of business registered with MN Secretary of State
Please Select
Sole Proprietorship
Partnership
LLC
C corp
S corp
B corp
Nonprofit
Other
Requested Member Level
Essential Coworking
Standard Coworking
Virtual Membership
Dedicated Desk
Office Suite
Retail Suite
Last year annual revenue
This year projected annual revenue
Number of total employees and/or contractors (including self)
Number of employees and/or contractors on-site (including self)
Current Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Description of Business
Message
Authorization to perform background check (disclaimer or required legal statement)
Yes
No
Name
First Name
Last Name
PROMO Code
Date
-
Month
-
Day
Year
Date Picker Icon
Signature of Authorized Officer
Submit
Submit
Should be Empty: