CIE USA
Chartered Institute of Entrepreneurs USA
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Membership Application
Join the Chartered Institute of Entrepreneurs USA
A. Personal Information
Full Name *
Date of Birth
Nationality *
Gender
Select
Male
Female
Other
Contact Address *
Phone Number *
Email Address *
B. Professional Information
Current Occupation
Organization/Business Name
Years of Experience
Area of Specialization
C. Membership Category *
Select Membership Category
Student Member ($100)
Graduate Member ($200)
Associate Member ($300)
Full Member ($500)
Fellow ($1,000)
Chartered Member ($800)
Entrepreneur of the Year ($1,500)
Professional Doctorate in Entrepreneur ($3,000)
Corporate Member ($5,000)
Affiliate (Contact for fees)
D. Account Security
Password * (min 8 characters)
Confirm Password *
E. Declaration
I hereby declare that the information provided is true and correct. I agree to abide by the rules, regulations, and code of ethics of the Institute.
Submit Application
