*1.Do you formally consent to being a member of INNZ? (note: answering no will void your membership)(Required.)

Yes

No

*2.Which INNZ membership option would you like to sign up for?(Required.)

Individual Membership: $45

Subsidized Membership (Students, small organizations, and volunteers): $35

Corporate Membership (5 for the price of 4): $180

*3.What is your name?(Required.)

*4.What is your email address?(Required.)

*5.What is your phone number?(Required.)

*6.What is your organization?(Required.)

*7.If you are freelancer or do not have a physical site for your employer, please provide a physical address here (put NA if same as Organization above)(Required.)

8.If applying for Subsidized Membership what organization are you affiliated with? i.e. One or more of the following: What university to you study at? Which small organization do you work for (>5 full time staff)? Which organization do you volunteer for?

9.If applying for Corporate Membership please provide the name and contact details for the five individuals in your organization who will be members of INNZ