Membership Application - New Hampshire Tech Alliance

Instructions

Please complete the following questions.

Select An Option

Enterprise $4000 Annually

Annual Revenue of $25M+

Advanced $2500 Annually

Annual Revenue of $10 - 25M

Accelerator $1500 Annually

Annual Revenue of $3 - 10M

Academic & Municipal $1000 Annually

Academic & Municipal

Innovator $750 Annually

Annual Revenue of $500K - $3M

Basic $500 Annually

Annual Revenue of $0 - $500K

Individual $150 Annually

This membership is for remote workers living in NH or retired tech professionals.

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist