Confidential Membership Application Alumni Company Name* Company Address* Postal Code* Telephone*Website* Fiscal Year End* MM slash DD slash YYYY Number of Years in Business*Revenue per fiscal year2020 (approximate)*2019 (approximate)*2018 (approximate)*Description of Business (25 words or less)*Title of Company Representative (Chief Decision Maker)* First Name* Last Name* Direct Telephone*ExtensionDirect Email* I certify that I am a Chief Decision Maker of this company. I also certify that I am dedicated to fostering profitable growth through innovation in my business and that I am prepared to share my innovations/ideas with my peers. Innovators Alliance Commitment to you. As a member of Innovators Alliance we commit to focusing you on achieving profitable growth through innovative thinking and decision making. We provide you with: The opportunity to improve the growth and profitability of your organization An outlet to continuously learn and improve in a confidential setting The time and place to work on your business vs in your business The opportunity to develop friendships and networks with other business leaders that enrich your professional and personal life Exposure to innovation and new ways of doing things The opportunity to benefit from the hard won lessons and experience of other leaders Honest advice and feedback from peers who have no conflict of interest A forum to hold yourself accountable to your peers for reporting back on translating ideas into executable actions 1 year membership to Innovators Alliance A fully trained professional Chapter Facilitator with personal Business Leadership experience for every Chapter meeting 10 Chapter meetings/ year with a group of entrepreneurial peers – in person or virtually 3 Power meetings/ year – a full or half day open to all Innovators Alliance Members participating in workshops, breakout sessions and key-note speaker sessions virtually or in person Guidance with identifying your Innovation Journey Access to the exclusive Members only portal on our website, providing the tools and resources required to improve the growth and profitability of your business Our monthly e-newsletter featuring business and personal interest stories relevant to business leaders Complete meeting support, including meeting invitations, maps and confirmations for download Access to our confidential Membership directory Access to our Sponsors and their products and services Electronic invoicing, payment and registration systems We ask our members to commit to: Chapter meeting attendance Providing support, feedback and input to fellow members on their Innovation presentations and key business issues Participating in a monthly check-in including your “Innovation Snapshot” Bringing their own business challenges and “wins” to the table to share with fellow Chapter Members Respecting the confidentiality of the discussions with fellow members of Innovators Alliance Membership is for 1 full year, with a renewal based on your signing date. Invoices will be issued annually through Freshbooks. Cancellation is by written notification. No refunds. Innovators Alliance Corporation reserves the right to revise pricing. By signing below you acknowledge and accept your commitments to Innovators Alliance and agree that Innovators Alliance Corporation will be communicating by electronic messaging service.* I accept the terms and conditions Date* MM slash DD slash YYYY Signature* Please review your application as you will not be able to return to this page once you move on.