Membership Application

First name

Last name

Email

Phone Number

Date of Birth

Day

Month

Year

LinkedIn or Preferred Social Media Platform Link

How did you hear about us?

Profile Photo

Please upload a headshot in JPEG format for your members profile. This is a legal requirement we won't be able to grant you access to the building without it.

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Membership Application

Tell us about yourself

Rise is not just a club we are a community of people who believe in supporting each other to rise. What value or skill would you bring to the community?

How can the rise team help you get what you are looking for from your membership?

Which of the following best describes you / what you do.

Position / Title

Organisation

Membership Level

Select which membership level you are interested in. We will not be taking payment today. If you are successful we will contact you to let you know and approve your membership start date. Only then will we take the payment you have selected.

Founding Membership* (£100 p/m - 12 month upfront, no joining fee)

Rise Membership (£210 p/m with £325 joining fee)

*Note there are only 100 Founding Memberships available. Founding Memberships are secured by first passing application approval and then making payment.

We look forward to welcoming you to this community