Member - Member Information Center | Greater Fort Wayne Inc.

Welcome and thank you for applying to be a member/investor in Greater Fort Wayne Inc. All membership applications are subject to approval.

For additional information or to discuss investor benefits or investor levels such as LFW Alumni, the Greater Fort Wayne Inc. Women's Network, entrepreneurs, and more, please contact Investor Services at 260-203-5765. Please note: your application must be completed in its entirety in order to be processed. Incomplete applications will not be saved.

Business Information

Company Name: *

Leave Blank:

Phone: *

Website: *

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Referred By:

Company Designation: *

Underrepresented minority-owned business:

Woman-owned business:

Veteran-owned business:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Instagram Twitter

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Membership Options

Membership Package: *

Investment Level 1: $400.00
2-10 Employees Investment Level 2: $600.00
11 -20 Employees Investment Level 3: $800.00
21-50 Employees Investment Level 4: $1,000.00
51-100 Employees

Additional Opportunities:

We will contact you with additional information.

KPC Business Weekly: $0.00 : $0.00
I do wish to receive the subscription to the Greater Fort Wayne Business Weekly, including the annual “ Book of Lists” (which has a value of $20.)

Payment Option:

Bill me Charge my credit or debit card

Print Application

Member Application

Mailing Address