We'd love to have you as part of the Connectle community.
If you're up for answering a few questions, we can get you started in the Connectle community as soon as possible.  Don't worry we wont use the information to spam you, it's just to help us customise the community for you and keep improving. 
This will take about 5 minutes.
start
 
First Name *

 
Last Name *

 
Your LinkedIn profile (if you have one)

This is so we can verify you.
 
What is your Twitter handle?

If you have one. Ours is @connectle_
 
How did you come to know about the Connectle community?

This helps us understand where our awesome members come from.
 
Thank you for sharing a little about who you are {{answer_28898508}}. Please let us know how would you like to join Connectle? *

Professional membership is for individuals wanting to transform their work.
Company membership is a customised package that requires a minimum of 25 people.

 
What is the name of your company? *

 
How many people work in your company? *

 
Please share your company website.

 
Please tell us a little about the initiative your are working on. *

How can your company benefit from transforming their work?
 
Where do you work?

This could be a company or organisation, or you could work for yourself. If you work on multiple initiatives, please list those.
 
What is your job title?

How do you introduce yourself when someone asks what you do?
 
Please tell us, briefly, what you are working on now. *

Feel free to include URL's or websites or blogposts if they will help give some context.
 
Please provide your details for the  {{var_price}}verification fee. *

This small fee goes towards manually verifying you with the details you have provided and ensures the quality of our trusted community.
 
Please enter your Credit or Debit Card number: *

 
The CVC number: *

(3 or 4 digit security number on the back of your card)
 
The name on your card: *

 
Your card's expiry month: *


 
Your card's expiry year: *


Thank you for taking the time to let us know more about you. We will be in touch over the next 24 hours. Can't wait to have you in the Connectle community.
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