COIN Membership Application

Thank you for applying for membership in the Clallam Opportunity Investment Network (COIN).

COIN creates opportunities for local citizens, businesses, and nonprofits to network, build prosperous local businesses, invest in the community, and to build a more resilient and sustainable economy for Clallam County. Membership is intended for local investors and local investing entities, and is open to any individual or entity. Please complete the following questionnaire and submit. For any questions about COIN or your membership application, please call us at (360) 452-2364 or contact Clallaminvests@gmail.com

By submitting this application you agree to receive occasional emails about local investment opportunities. We will never spam or share your information.

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* 1. Contact Information

Name *

Company

Address *

Address 2

City/Town *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. Co-applicant information (if any)

Name

Email Address

Phone Number

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* 3. Were you referred to COIN by an existing member? If so, please let us know who. Otherwise skip to the next question.

Name

Company

Email Address

Phone Number

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* 4. Briefly, why are interested in joining COIN?

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* 5. Briefly describe your investing background and experience (if any)

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* 6. These optional questions are not required, however, they help us track our collective financial resources and impact. They are not used to qualify membership, nor do they imply any type of commitment, and you may decline to answer.

Approximate amount of funds currently invested locally:

Approximate amount of funds available for future local investing:

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* 7. Please enter your full name below.

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* 8. I acknowledge that a typed signature is representative of a legally signed application

Yes