ACG WI NextGen Application

NextGen Membership Application

All renewing and new applicants must complete this brief form.
Name*

First NameLast Name
Organization*
Title*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
E-mail*
LinkedIn Profile*
Are you a current NextGen Member*

YesNo
Are you a past ACG Cup competitor?*

YesNo
Referral

Tell us how you learned about ACG WI NextGen Membership
Referral Name*

First NameLast Name
Organization
Organization Name
Your Feedback is Requested

To aid in planning the program year, please provide feedback to the following:
Please share your preferred meeting day(s), time(s), and location.
Please share topic suggestions for future meetings and/or discussions.
Please suggest a venue(s) for future social events for the group.
Would your organization be interested in hosting a future NextGen meeting?
NextGen Membership
ACG WI NextGen Membership: $300
- Attendance to NextGen and ACG Wisconsin programs and events
- Membership rate for the Growth & Leadership Conference
- Access to the ACG Wisconsin NextGen membership roster
Upon approval, you will be notified and invoiced. Thank you!
Should be Empty:

NextGen Membership Application