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Membership Form

Prospective members should follow the instructions provided below for becoming a member:

Company Information

Company Name*

Industry*

Operating Region(s)*

HQ Address

Street Address*

Address Line 2

City*

Zip Code*

Country*

State*

Website and Other Information

Website Url

Logo File

(Or) Link to Logo

Social Media Links

Brief Description

This information will be used on your specific member page on the Requisite Agility website

Primary Contact Information

Primary Contact Name*

Email Address*

Title*

Membership Type

Academia Industry Goverment Innovation

Membership Plans

Bronze ($1500 per year for 5 employees) Silver ($3,000 per year for 15 employees) Gold ($5,000 per year for 25 employees) Platinum ($10,000 per year for 100 employees) Diamond ($20,000 per year for 500 employees)

Others

How does your senior management express their interest in, and support for, Requisite Agility?*

Describe your requisite agility journey - how do you promote requisite agility internally and with your clients (if applicable)*

Submission

On receipt of this application form, we will issue a MoU (if requested) and invoice. Once submitted, the application will be reviewed by the Institute. We may be in contact to clarify any of the information within. Please expect a response within 3-5 working days.

Memorandum of Understanding

I agree to the standard MoU (this is equivalent to a digital signature) I prefer to receive and sign the MoU offline

If you'd like to sign the MoU offline we can send a version via email. Commons reasons include; a) you don't have delegation authority, b) you require multiple signatures, or c) your legal department requests adjustments to the language). If you're unsure, select this option.

Commitments

I commit to promote the benefits of Requisite Agility within my organization and that of my clients & partners (if applicable)*

I accept the Requisite Agility code of conduct*

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