This form is for
new memberships
and
renewals
for both our
individual
memberships
and our
corporate
memberships.
If you are filling this form for a
corporate membership
please fill out the additional fields for the
second member
from your company below.
After you complete this form and click submit, you will be taken to the
payment portion
of this process to complete your membership application through
PayPal.
Once payment has been received, we will process your membership and send you a
confirmation email
.
For your security, we process all of your personal and payment information on a secure PayPal server. You may go through PayPal without having to have a PayPal account or logging in. Simply choose the "continue" link in the left corner of the PayPal page above the credit card logos.
If you would prefer to pay by check, please send an email with your "business card" details to Karen Marshall
info@ocvg.com
and she will email you an invoice to pay from.
Please fill in all information below:
* These are required fields
Type of Membership:
Individual NEW - $300 non-transferable
Corporate NEW - $600 may be used by any two individuals
Individual RENEWAL - $300 non-transferable
Corporate RENEWAL - $600 may be used by any two individuals
Company Name
Description of Your Enterprise or Service
*
Membership Category
*
(Choose One)
Entrepreneur
Capital Provider
Advisor
Web Site Address
Individual Member
or Main Corporate Member Information
First Name
*
Last Name
*
Title
Address
*
City
*
State
*
Zip
*
Contact email
*
Contact Phone
*
For Corporate Memberships Only:
2nd Corporate Member First and Last Name
2nd Corporate Member Email
2nd Corporate Member Phone
* These are required fields