Affiliates - MYCONNEXSPORTS

Market Affiliate Information Request

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Primary Interest in Being A State / Local Affiliate *

Business Development/Networking Investing In Early Stage Startup Deal Flow Talent Acquisition Making An Impact & Community

Explain How Your Current Role and Business Will Add Value To Club Members *

Submit