NIC Coworking Application Form

NIC Coworking Application Form

Complete the form below to apply for our coworking membership.
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Preferred way to contact

PhoneEmailAny
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business or Organization Name (if any)
I’m already a member of:

Urban Eats Kitchen IncubatorThe Wink! Retail IncubatorNICstl Ecosystem PartnerNot yet a member
I am applying for:*

NIC Coworking Membership – $50/month (6-month commitment)Month-to-Month Coworking – $75/monthInstitutional Membership – $1,500/year
Your Primary Goals at NIC Coworking

Work/focus spaceNetworking/communityWorkshops/eventsOther
Other Goal (if selected above)
Days you typically expect to use the space:

MondayTuesdayWednesdayThursdayFriday
Additional Questions or Notes
Terms Agreement*

I agree to NIC Coworking’s policies on respectful use, community standards, and weekday access hours (9am–5pm).
Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
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