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

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* 4. In the spirit of sharing, what are your GIVES and GETS for the community?

Please indicate what your give is (what you hope to contribute to other members) and what your get is (what you hope to receive from other members.)

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* 5. Based on your membership type, please indicate up to three industries you are interested in.

For example, 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?

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* 6. For attorneys only - What is your legal expertise? (choose up to three)

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

Please enter your company website.

If you are not a Founder pls enter NA

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* 8. Is there anything else that you would like us to know about you? The more we know the more we can help in making connections. General comments also welcome here!

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* 9. If you become a Fourth Floor member, what kind of programming would you be interested in attending or engaging with? Select all that apply

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* 10. Please indicate if you are interested in partnering with The Fourth Floor in any of the below ways. (We may reach out for additional information)

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* 11. How did you find the The Fourth Floor?

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

0 of 12 answered
 

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