MEMBERSHIP REQUEST Membership Form Name* First Last Gender*MaleFemalePrimary LocationAtlantaDCLAMembership CategorySelect OneAnnual Membership $2000Monthly Membership $200Under 30 Membership $100 (Valid ID Required)All Access $250All Access Annual $2500All Access Under 30 $150Select OneBirthday* (MM) (DD) (YYYY) Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Marital Status*SingleMarriedEmail* Re-Enter Email Phone*Social Media ProfilesPlease provide your social media platforms below.* Linkedin Facebook Instagram LinkedIn is strongly suggested. Private profiles are not accepted.Linkedin*Only direct links will be accepted. Please do not type your name. Facebook*Only direct links will be accepted. Please do not type your name. Twitter Handle*Only handles will be accepted. Please do not type your name. Instagram*Only handles will be accepted. Please do not type your name. About Your WorkPlease list all that you do.Company Name*Role / Title* I have an additional job to add. Company NameRole / TitleIndustry*Entertainment/Music/TV/FilmEntrepreneurshipProfessional (Law, Medical, Finance, Real Estate, etc.)Creative Professional (Marketing, Graphic Design, Photography, etc.)Creative (Art, Photography, Fashion)EducationSTEMNon-ProfitPlease choose the option that you most closely align with. How do you see yourself using the club?File UploadAdditional LinksYour Knowledge of The Gathering SpotHow did you hear about us?A Member of The Gathering SpotA TGS Partner CompanyA friend shared on social mediaSocial Media Sponsored PostHow did you hear about us?*A Member of The Gathering SpotSocial MediaEventInternet SearchStaffA TGS Partner CompanyWhich social media platform?*Which event?*What did you search?*Which TGS Staff member?*TGS Member Name*TGS Member Email* Which TGS Partner Company recommended you?*Why TGS Membership?What is your top reason for joining The Gathering Spot?*The community of members.Flexible 24/6 workspace.The members-only experiences and programming.Discounted rental of the event space.Please share with us why you desire to become a member.*Please limit to 1 paragraph or less.Please add anything else you wish to share about yourself. (Optional)If accepted, I am interested in*Under 30 Membership | $100 monthlyMonthly Membership | $200 monthlyAnnual Membership | $2000 annuallyI am not ready to join at this time, but please keep me on your list.If accepted, when are you interested in joining?*Right away!Within a couple of weeks.Next month at the earliest.Please review the above information carefully. Before submitting this application, please carefully review TGS’s Membership Agreement and Members Community Code in their entirety. These comprise the rules and code governing the Club. By clicking "Submit" you acknowledge and agree to comply with these rules should you be granted membership in the Club. If you have any questions or do not receive a confirmation email, please contact firstname.lastname@example.org.