NC TECH Tech Enabled Membership Application
  • Please select the appropriate headcount range and dues amount from the menu
  • (See Advisors program description, fee and current roster HERE)
  • Hold CTRL key and select as many as applicable
  • Hold CTRL key and select as many as applicable
  • Company Information

  • - -
  • Please include two logos:
    JPEG or PNG
    -AND-
    EPS or AI
  • Primary Contact Information

    The primary contact is considered the key business contact for NC TECH and listed in the online member directory.
  • Key Contacts

    If applicable, please add these additional business contacts who we can engage in membership activities:
  • All employees are eligible to receive member benefits and participate in NC TECH activities. Please upload a list of employees to add to the database to ensure they receive a welcome, member portal login and email communications (include Name, Title, Email, and Phone).
  • Payment Information

  • Please complete total amount due based on annual dues investment plus optional Board of Advisor seat.
  • Credit card info will be transmitted securely, but charged only after info is verified. A receipt will be sent to the email address you provide below.
  • If you have different/additional instructions for billing, please note them here
  • * Required with credit card payment
  • * Required with credit card payment
  • * Required with credit card payment
  • * Required with credit card payment
  • *Required with credit card payment
  • * Required with credit card payment
  • * Required with credit card payment