MEMBERSHIP APPLICATION

We are thrilled that you would like to become a part of The Alliance!

In order to be considered as a member, please take a few minutes to thoughtfully fill out the following application. Select your level of membership based on your GROSS annual revenue. Then, select your Membership Fee level based on your NET annual revenue and click on the ‘Submit’ button.

Once your application is received, it will be considered by our Executive Leadership Team (within 48 hours) for final approval and payment will be due upon acceptance. We will let you know if we need any further information in order to process your application at that time. There is a one-time administrative enrollment fee of $150. This fee must be submitted with your first month’s payment or your annual payment in order to activate your Membership. You will receive a confirmation email that includes your initial payment link.

The Alliance Membership Application

Date of Application *

Your Name

Your Business Name

Your Title

Years in Business

Your Industry

Business Address

Email Address

Business Telephone

Mobile Phone

Your Birthday

Website(s)/URL(s) *

Which chapter are you joining? *

Durham, NC - meets 2nd Fridays

Raleigh, NC - meets 3rd Fridays

National Chapter - 4th Saturdays

Your Membership Level - based on your current GROSS annual business income

$36,000 - $100,000 (Emerge Membership)

$101,000 - $350,000 (Excel Membership)

$350,000 - $750,000 (Elevate Membership)

$750,000+ $1 Million (Pinnacle Membership)

Membership Fees - based on your current NET annual business income

$10,000 - $50,000 - $127/month or $1300 annually - FOR NATIONAL CHAPTER

$10,000 - $100,000 - $197/month or $2000 annually - FOR ALL LOCAL/IN-PERSON CHAPTERS

$101,000 - $350,000 -$397/month or $4000 annually

$351,000 - $750,000 - $497/month or $5000 annually

$751,000 - $1M - $597/month or $6000 annually

One time or Monthly Payment Plan *

One-time Annual Payment (with 15% off discount)

Monthly Payment Plan

Form of Payment *

Debit/Credit Card - you will be sent a a payment link once your application is approved.

Business Check - you will be sent an invoice that includes where to send your payment.

Your Twitter URL

Your Linked-in URL

Instagram URL

Your Facebook URL

Your Business Description *

What would you like your business revenue to be in 12 months?

What are your top three business goals in the next 12 months? Please make them clear and measurable.

Your Bio Sketch

How do you see yourself contributing to The Alliance Community?

Where do you see your business in 5 years?

What Business Development Topics would you like to see to help grow your business?

Have you reviewed The Alliance Policies and Procedures?

Yes

No

If you are human, leave this field blank.

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You’re almost there…The last thing we need is for you to review our Policies and Procedures.

Click Here to Review The Alliance Policies and Procedures. Please return a signed copy of the signature page to info@TheAllianceNet.com.

If you are accepted, we will need a headshot for The Alliance website.

Thank you!  We look forward to being on this incredible business journey with you!