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* 1. Tell us about yourself

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* 2. What type of member are you?

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* 3. Based on your membership type, please indicate up to three industries you are interested in. (i.e. if you are a member of a founding team or legal counsel, in what industries does your company operate? If you are an investor / industry leader, what industries are you interested in supporting?) (industries examples: luxury retail, transportation, ecommerce, marketing, cosmetics, cryptocurrency).  Put the industry you are most interested in first.

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* 4. For attorneys only - What is your legal expertise? (choose up to three and put your most experienced topic first) (for example: US trademarks, GDPR, employment, SEC, in-house generalist, compliance, SaaS)

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* 5. Why are you interested in The Fourth Floor? (check all that apply)

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* 6. How would you like to be involved in The Fourth Floor? (We may reach out for additional information)

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* 7. (Optional) We are always looking for potential new members / founders / influencers / investors / sponsors / journalists.  Who should we speak with?

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* 8. Who invited you / referred you to The Fourth Floor?

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* 9. Who have you referred to The Fourth Floor?

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* 10. For founders (co-founders), describe stage of development and why you meet our membership criteria. 

For everyone, what else should we know about you, your goals, and how The Fourth Floor can assist you?  General comments are welcome here!

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