Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Preferred Contact Method
*
City
State/ Region
Postal Code
Country of Residence
What church do you currently attend?
*
Which membership tier are your interested in?
*
Starter ($25/ month)
Founder ($85/ month)
I can't afford at this time
LinkedIn Profile
*
Where is the bulk of your time spent throughout the week?
*
W2 (FTE)/ 1099 (Contract)
Business Owner
Investor
What is your current net worth?
*
Under $249,999
$250,000 - $499,000
$500,000 - $999,000
$1M - $1.99M
$2M - $4.99M
$5M - $7.99M
$8M - $9.99M
$10M+
What is your personal yearly income?
*
$0 - $100,000
$100,000 - $200,000
$200,000 - $300,000
$300,000 - $400,000
$400,000 - $500,000
$500,000 - $1,00,000
$1,000,000+
What caused you to apply to HYPE Membership?
*
Member Referral
Internet Search
Non-Member Referral
Social Media
Sponsor/ Public Event
Other
How can HYPE add the most value to your growth stage right now?
*
Is there any additional information you'd like to share?
HYPE is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you by email and by phone for this purpose, please check the box below. I agree to receive email, phone, and other communications from HYPE.
By clicking submit below, you consent to allow HYPE to store and process the personal information submitted above to provide you the content requested.
