CBA Membership

Welcome, and thank you for your interest in CBA and for reaching this introduction page. We would like to hear more from you and get to know you personally.

In order to indicate your interest in supporting CBA and possibly even joining a CBA "Business Angel", please complete the short information form below.

All information provided will be kept confidential to CBA and not used for any other purpose other than then intended.

Following receipt of your information, one of our team will be in contact to discuss next steps - usually within 5 business days.

Blessings,
CBA
Contact Information
First Name:*
Family Name:*
E-mail:*

Confirmation Email
Phone:*
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What type of engagement do you prefer?*

I want to consider becoming a Business Angel or CoachI want to donate in support of CBA investmentsI wish to co-invest in CBA opportunitiesI wish to engage my DonorAdvised Fund or Foundation with CBA investments
Name of your Donor Advised Fund or other entity:
Your Background / Experience
My business experience includes:

Business ManagementAccounting / FinanceStartups / EntreprenuershipTraining / CoachingPlanning / StrategyNetworking / ContactsOther
My experience by sector:

AgricultureConstructionConsultingEducationFinance / InsuranceGovernmentHealthIT / SoftwareManufacturing / ProductionNon-ProfitPersonal ServicesProperty / Real EstateRetailTourismTransportationOther
My current employment status:

EmployedRun my own businessSemi-RetiredRetiredStudentOther
My current age range:

20-3535-5050+
Paid positions held in the past 10 years:

AdministratorConsultantTeacher/ProfessorMedical PractitionerManager / SupervisorBusiness OwnerExecutive ManagementBoard MemberOther
Volunteer activities over last 10 years

SchoolGovernmentChurchNon-ProfitSportsClubs etcOther
Please provide insights into volunteer activity. Also add employment detail if relevant.

0/100
Your Interest in CBA
I am interested in learning more about:*

becoming a Business Angelstarting a local chapterhelping with CBA workshopscoaching CBA entrepreneursmaking a financial contributionOther
How did you hear about us:*

LinkedInGoogleCBA MemberFriend / ColleagueOther
If you heard from a friend or CBA member, please let us know who we may thank:
Anything else you would like to share?

0/100
Would you like a copy of our 5-year plan sent to your address?

Yes pleaseNo thanks
Note:

if you are requesting a copy of our 5-year plan, then please be sure to provide your address at the top of this form!

Thanks.
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