Current Corporate Membership Enrollment Contact Information Question Title Authorization ContactThis is the individual approving the membership fee and to whom all future invoices for membership will be sent. Name Title Company Address City Zip Phone Fax Email Question Title Human Resources ContactThis is the person with whom we can communicate regarding programming specific to HR directors and who can verify employment status of individuals enrolled utilizing your corporate membership. Name Title Company Address City Zip Phone Fax Email Question Title Current ChampionThis is the individual with whom we will communicate about how to promote membership internally to other employees. We also rely on Current Champs to encourage overall program participation to maximize your investment in our program. Employers may have more than one Current Champ and often times, it is recommended for larger employers with multiple locations or departments. Name Title Company Address City Zip Phone Fax Email Question Title Web Address Question Title Company Description for Web Question Title Membership terms are anniversary based; flexible billing options are available upon request to align with budget periods. Please select the option that reflects your total number of employees in the Greater Green Bay area. This is your head count and not FTE that includes all employees regardless of age, position or anticipated involvement in Current. Employees located outside of Brown Co. need not be included in this count. $250 1-24 employees $500 25-99 employees $750 100-249 employees $1,000 250-499 employees $1,500 500+ employees Question Title Please tell us if you are eligible for any special offers or discounts. A qualifying non-profit is defined as a 501(c)(3) organization with a minimum of 50% funding from charitable contributions; government organizations; and school districts. Other exemptions may apply. Membership Drive Offer Qualifying Non-Profit - 50% Discount Special Promotion - Explain Other (please specify) Question Title $100 for each additional subsidiary or affiliate provides equal benefits for listed subsidiaries including unlimited individual memberships and marketing exposure for each entity.Employees of subsidiaries should be included in total employee count of main applicant.Please indicate if you have additional subsidiaries or affiliates you wish to enroll: no additional subsidiaries $100 each additional subsidiary or affiliate list subsidiaries to be included Question Title Please indicate if you would like additional information on any of the following advertising and sponsorship opportunities. Your additional support in these areas ensures we are able to continually develop programs that align with our mission and ultimately serve the needs of our local workforce and employers. Donate Raffle or Silent Auction Item Electronic Media (newsletter, web, app, etc.) Event Sponsorships Friends of Current Membership Future 15 & Young Professional Awards Group Activities (affinity groups in which members participate) Niche Publication Advertising Program Grants (funding for specific programs; ie, mentorship, internships, development, etc.) Sustaining Partner other (please specify) Done