Create an Account – Collaborative Capital

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Who is your CCap Member Sponsor*
Please list other CCap Members You Know*
Username*
Preferred Email Address*
Password*
Enter Password Confirm Password
Family/Associate Membership
Is it a Family/Associate Membership?*
- Yes
- No
Membership Name/Primary Member Name*
Family/Associate Members*
Name Address Work Phone Cell Phone Email address
Contact Information
Name*
First Last
Address*
Street Address City State ZIP Code
Work Phone*
Mobile Phone
Spouse Name
First Last
Business Name
Business Address
Street Address City State ZIP Code
Preferred mailing address*
- Home
- Business
Personal Information
Degree
Institution
Date
Degree
Institution
Date
Affiliations
Family Personal Interest
Personal Interests
Invited By
Investment Experience
My prior direct private equity investment experience*
- None
- Some
- Very Active
I meet the SEC requirements of an “Accredited Investor.”*
- Yes
- No
Would you be interested in participating in a leadership role with Collaborative Capital?
- No
- Yes
Operating Experience
- CEO
- CTO / CIO
- COO
- CFO
- Partner - Accounting
- Partner - Law Firm
- Partner - VC Firm
- Partner - Other Services
- Board Member
- VP Engineering
- VP Marketing
- VP Manufacturing
- VP Operations
- VP Sales
Functional Experience
- General Management
- Organizational Development
- Strategy Planning
- Advertising
- Manufacturing
- Operations
- Finance, Accounting
- Quality Control
- Logistics
- Negotiations
- Fundraising
- Legal, Agreements
- Marketing - Consumer
- Marketing - B2B
- Sales - Direct, Retail
- Sales - OEM, Major Account
- International Sales, Marketing
- Hardware Developer
- Software Developer
- Information Technology Designer
Industry, Technology, Investment Experience
- Communications, Networking
- Computers, Peripherals
- Internet Business Services
- Semiconductors, Equipment or Hardware
- Information Technology or Services
- SaaS (Software as a Service)
- Internet Content
- e-Commerce
- Internet Software, Database
- Internet Infrastructure
- Manufacturing
- Energy, Environment
- Aviation
- Real Estate
- Consumer Projects, Services
- Clean Tech, Industrial
- Specialty Materials, Chemicals
- Professional Services
- Industrial Products
- Electronics, Components
- Financial Services
- Publishing, Media
- Retail
- Digital Media
- Education, Training
- Healthcare Services
- BioPharmaceuticals
- Medical Devices, Equipment
- Medical Information Systems
- Optics
CAPTCHA
MEMBERSHIP TERMS & CONDITIONS*
The undersigned new Member of Collaborative Capital agrees to participate in group events as he or she may be able and subject to removal, agrees to the following: (1) not to disclose membership names or other information to non-members, (2) not to solicit other members for non-Collaborative Capital business opportunities, and (3) not to share or disclose any Collaborative Capital copyrighted materials or intellectual properties.
I agree to the membership terms & conditions.

Name	Address	Work Phone	Cell Phone	Email address

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Family/Associate Membership

Contact Information

Personal Information

Investment Experience

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