BIRMINGHAM ANGELS

CORPORATE MEMBERSHIP APPLICATION

PLEASE COMPLETE & SUBMITT THE FOLLOWING APPLICATION FORM

Business Name

DBA

Full Legal Name

Length of Time in Business

Is the company publicly traded?

Type of Corporation

Contact Information: *

First

Last

Position & Title:

Phone Number: *

Email *

Business Website / URL

Business Phone:

Mobile Phone:

Principle Business Address:

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address - (If different from the Principle Address)

Address Line 1

Address Line 2

City

State

Zip Code

Membership Level of Interest:

Level (1) - Foundation Membership
Level (2) - Advisory Membership
Level (3) - General Membership

Comment or Message *

Legal Disclamer:

I here by agree

By checking this box, I, the Investor hereby acknowledges that I am an “accredited investor” as defined under Rule 501(a) of Regulation D promulgated under the Securities Act 1933. I had read and accepted all the terms & conditions as outlined in the Birmingham Angels Membership Agreement.

Signature

Comment

THE APPLICATION PROCESS: (14 Days)

To ensure the quality and integrity of the group and our business practices, we have to establish the application process to accommodate potential members in their onboarding journey.

Complete the online application select your level of membership.

Sign and submit the application for review!

Our membership committee will review and approve

Upon approval you will receive an online invoice to make online payment. Submit your payment and start investing

will be added to the membership database, receive an invitation to Sidepitch to create a user account - Start Investing!

Become a member today!

Our staff will respond within 48 hours.

Complete the online application