CU Well Diggers > Application

Membership Application Form

Welcome to CU Welldiggers! Please fill out the form below to apply to become a member of our community. We look forward to connecting with you and helping you grow your business network. Please note that Prospective Members may come to the weekly meetings as a guest up to two times, after that please consider joining!

Organization Information

Org. Name

The name of the Business, Company, or Organization you are representing. Please use the most common, friendly name or abbreviation.

Street Address

City, State, Zip

E.g. Champaign, IL 61820

Main Phone

Industry or Professional Classification

The quick, obvious industry your organization is primarily in. For example, Construction, Law, Internet, Insurance, Technology, Fitness, Financial, or other Professional Service.

Website

Personal Information

Member Full Name

Mobile

Job Title

Signup and Consent

Sponsor's Full Name

The existing member that sponsored or invited you to the group as a guest.

Payment Option

$200 for a full year

$100 for half a year

Please fill in all required fields before sending.

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Success! If you are not registered yet, you will get an e-mail with which you can finalize your registration.

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Thank you for contacting us. We will respond within one working day.

You will also receive a confirmation to the e-mail address you provided.

Application Process

Complete and submit this application form (it goes to our current membership coordinator)
You will be notified of approval or declination after membership application is reviewed
If approved, arrange payment
Show up for next meeting!