VIP Member Signup Business SnapshotBusiness Name*What does your company do?*2-3 brief sentences.Choose your membership typeRizeX VIP Membership*One Year Monthly membership pricing for All Locations, based on company size.Entrepreneur ($97)2-5 Employees ($147)6-10 Employees ($197, Includes 2 people)11-15 Employees ($247, Includes 2 people)15+ Employees ($297, Includes 2 people)Are You Interested In the RizeCon VIP Ticket Upgrade?*RizeCon is our annual business conference. You will not be charged for this at this time.Yes: +$147/ticket in advance of event (not charged at this time)NoI don't know what this and need additional informationWho are the attendees for your RizeX VIP Membership?Businesses with 6+ Employees get to bring 2 members for the same price!Name* First Last Upload A Head Shot*Email* 30-45 Second Video of Why You Joined the RizeX Movement and what you bring to the table.Example: Big circle of influence… Insert YouTube video link.Shirt Size*Select Shirt SizeSmallMediumLargeX-Large2X-LargeLinkedIn ProfileFacebook ProfileInstagram ProfileYouTube Channel2nd Attendee InformationName* First Last Upload A Head Shot*Email* 30-45 Second Video of Why You Joined the RizeX Movement and what you bring to the table.Example: Big circle of influence… Insert YouTube video link.Shirt Size*Select Shirt SizeSmallMediumLargeX-Large2X-LargeLinkedIn ProfileFacebook ProfileInstagram ProfileYouTube ChannelExpectationsWhat are your Goals with the RizeX VIP Membership?*Who can we connect you to that will bring value to this membership?*Do you have other people in your circle of influence that would benefit from being in attendance at RizeX VIP?YesNoWhat are their names so we can invite them?*NameEmailPhone Number Waive Setup (Hidden)97147197247297347One-time Membership Setup FeeThere will be a one-time setup fee equal to amount of the monthly membership fee. Price: $0.00 Today's Total AmountMonthly Recurring Membership Amount, plus One-time Membership Setup Fee. Future months will only be charged the monthly membership fee, per your selection above. $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Terms & Conditions* I agree to the Terms & Conditions.I agree to the Terms & Conditions, as well as the Release of Liability for conversations that happen at a RizeX event. I also understand that this is a one-year commitment.
