Apply to Join Thirty MadisonInterested in working together? Please fill out this form to see if you qualify: Name * First Name Last Name Email * We will use this for all communications about your membership Personal Cell Phone * We will use this for calls and texts about membership approval (###) ### #### What is your current company name? * What is your company website? * http:// What is your role? * Founder Co-Founder CEO Non CEO C-Suite Strategic Advisor Other What is your current revenue run rate for this calendar year? * (To calculate, take your last month's revenue and multiply by 12) Under $1M but had previous exit valued over $5M or raised at least $3M in funding $0-$999,999 $1M-$2M $2M-$5M $5M-$10M $10M-$20M $20M-$50M Above $50M How did you hear about us? * Thank you!
