Membership Application - Consortium for Service Innovation

After you complete the Membership Application, you will receive a welcome letter which details your Membership benefits. Access to the Slack Workspace and Members-only wiki will follow shortly after.

Company Name(Required)

Website(Required)

Person Authorizing this Membership(Required)

First Last

Title(Required)

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Membership dues are used to finance the past and future work of the Consortium. Your dues give you access to a wealth of information developed by the Members and the staff of the Consortium over the past years. It also gives you access to content that will be created, discounts on Member services and, based upon your level of membership, access to Consortium Member benefits over the coming 12 months.

Membership Level(Required)

Benefactor ($45,000 per year)

Sponsor ($23,000 per year)

Participant Plus ($16,000 per year)

Participant ($9,900 per year)

Regional Participant - Europe ($4,950 per year)

Operations Manager Jill DeGraff will be in touch to complete payment.

Membership dues are non-transferable, non-refundable and the Consortium can make no guarantee about future deliverables or activities.

How did you hear about the Consortium?

By submitting this application, I indicate that I have read and understood the Rules of Conduct and understand that all members must abide by those rules. I understand that the membership term is 12 months.

Phone

This field is for validation purposes and should be left unchanged.