SHIP Membership Application

SHIP Membership Application
SHIP drives innovation, inspires change, and fosters inclusivity through collaboration.

We serve to Connect, Promote, Influence and Create the future.

Select a membership level, and our staff will contact you within 48 hours of your form submission. In our effort to be more environmentally conscious, confirmation of your membership, including an e-card, will only be sent by email.
Organization Information
Name of Organization
Date of Incorporation

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Primary Contact

First NameLast Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Tiered Partnership Levels (Select the desired level of commitment)

Background Information
Do you currently operate in the Savannah region?
Where is your company headquartered?
Why are you interested in joining SHIP? What impact do you hope to make in Savannah’s innovation ecosystem?
Should be Empty:

Organization Leadership Team