Coterie Application

1
Name
First Name
Last Name
2
Email
example@example.com
3
Phone Number
Area Code
Phone Number
4
What best describes you?
Please Select
Please Select
Founder/Owner
Executive/Partner
Ivestor/Advisor
Senior IC/Consultant
Other
5
Briefly describe what you do and who you serve.
6
Current annual revenue
Please Select
Please Select
<$100k
$100k-500k
$500k-$1M
$1M+
Prefer not to say
7
Primary Goals
Please Select
Please Select
Strategic Introductions
High trust referrals
Clarity on next moves
Collaboration
Investor/Capital Access
Speaking/PR
8
Time and Energy Check
Im ready to participate and show up now!I'm interested but my capacity is limited.
9
Anything else we should know about you?
Huge
Large
Normal
Small
Ok
Ok
10
My Products
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Coterie Membership DepositThis deposit secures your spot while we place you. It’s fully refundable if you’re not accepted or choose not to proceed after our review. After checkout, you’ll complete a quick intake so we can curate the right connections. You’ll hear from us within 48 hours.
$500.00Edit
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First Name
Last Name
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