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+1.833.321.3876
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Home
Memberships
Inquire
Contact
+1.833.321.3876
NEW MEMBER FORM
primary member name
*
If there are more than one of you, please BOTH fill this form out.
First Name
Last Name
legal business name
*
mobile telephone number
*
(###)
###
####
email
*
the email you would like all LOCALE communication to go to.
website
*
http://
Facebook Page
http://
instagram handle
twitter
@
linkedin profile page
http://
other social media channels?
how long have you been in business?
*
how did you hear about locale?
*
Durham Magazine
Word of Mouth
Signage On/Near Building
Facebook
Instagram
LinkedIn
Duke University Alum
Alva | Jonathan | Alon
membership term
*
How long will you initially be with us?
2 Months
4 Months
6 Months
8 Months
10 Months
1 year
2 years
3 years
membership start date
*
MM
DD
YYYY
how many people will be using your space?
*
do you need parking?
*
Yes please!
No thanks!
birthday
MM
DD
YYYY
describe your dream client or ultimate business goal
*
what kind of events would you be interested in attending at locale
*
Networking|Socials
Health (i.e. yoga)
Charitable
Political
Education (i.e. business workshops)
Hobbies (i.e. book club)
I'm not likely to participate in events
dream LOCALE amenity wish list
*
speed dating? punching bag? phone booths? a bell for champagne? bring your dog to work day? be realistic but also, dream big!!!
favorite music/band/style you'd love to hear in the office
*
why did you choose locale?
*
anything else you'd like us to know
extreme dietary restrictions? only working weekends? need marketing/branding help? whatever!
Thank you!
