Corporate Member - Add or Swap

Add a new member or swap an existing member on a Corporate Membership

Corporate Membership — Add or Swap a Member

Use this form to add a new Member to your Corporate account or to swap an existing Member. There is no fee for this submission.

Company / Organization Name *

Full Name *

First

Last

Email Address *

Mobile Phone *

Home Address *

Street Address

Address Line 2

City

State

ZIP Code

Date of Birth *

Race/Ethnicity *

How do you identify yourself? *

Relationship Status *

Name of Spouse / Legal Partner

First

Last

Name of Corporate Account Holder *

The primary contact on the Corporate Membership account.

First

Last

Is this an addition or a swap? *

Name of Member Being Replaced

First

Last

Tell us about yourself. *

Your employment status *

Where do you work? *

My Position/Title is... *

What type of work do you do? *

What is your work model? *

Facebook URL

Instagram URL

LinkedIn URL

Other URL

Please provide a link to your website, blog, or other to help us get to know you better.

Shirt Size

(SIGNATURE REQUIRED) COMMITMENT TO DIGNITY AND RESPECT *

If approved for Membership, I commit to abiding by the TolHouse policy of maintaining an inclusive House which treats Members, guests, and staff with dignity and respect. I understand that TolHouse has a zero-tolerance policy on sexual harassment, discrimination, and bullying, whether in action or speech, and I commit to adhering to these guidelines upon acceptance.

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Consent * Please select if you agree to the terms of this submission.