Membership

Membership Application

Directions for the Printed Application:

Download our PDF Application
Complete the application and mail with membership fee ($1,475 made payable to Elizabethtown College) to:

Directions for the Online Application:

Complete the application form below and click the submit button
Enclose the membership fee ($1,475 made payable to Elizabethtown College) in an envelope and mail to:

About the Applicant:

Name

Company

Title

Previous Company Name (if applicable)

Additional Participants:

Name

Company

Title

Relationship to Applicant

Contact Information:

Address

City

State

Zip

Phone

Fax

email

Referred By:

Name

Company

About the Company:

Brief Description of Business

Year Established

Number of Family Employees

Number of Non-Family Employees

What Generation is Your Company in?

If Other, Please indicate

Primary Business Type

Annual Gross Sales

Acknowledgement: Each Family Business Center Sponsor and Member acknowledges and agrees that the information, knowledge, materials, programs, presentations and other items obtained by them through The Family Business Center, or its officers, sponsors, executives, faculty, students and employees are for educational purposes only and shall not be relied upon by such Sponsors or Members as legal, accounting, business or other advice or counseling. Accordingly, each Sponsor or Member agrees that he/she shall not hold The Family Business Center or its affiliates listed above responsible in connection with any such items. Each Sponsor or Member should consult with his/her own individual advisors or counsels as to such Sponsor's or Member's personal circumstances and planning needs. By typing my name below and listing the date, I agree that all of the information listed above is factual and honestly presented. I agree to submit the registration fee of $1,375 to The Family Business Center and understand that my membership will not be activated until the fee is received. Signature and date fields.

Signature

Date