{"id":206,"date":"2013-10-07T23:57:50","date_gmt":"2013-10-07T23:57:50","guid":{"rendered":"http:\/\/veteranroundtable.org\/backup\/?page_id=206"},"modified":"2021-08-16T14:01:20","modified_gmt":"2021-08-16T18:01:20","slug":"application-membership","status":"publish","type":"page","link":"https:\/\/veteranroundtable.org\/backup\/application-membership\/","title":{"rendered":"Application for Membership"},"content":{"rendered":"<p>Veteran Membership is open to any Honorably Discharged Armed Forces Veteran or Service Disabled Veteran who owns at least 51% of an enterprise conducting business.<\/p>\n<p>Corporate, Partner &amp; Associate Membership is open to anyone that supports Veteran-Owned Businesses.<\/p>\n<p>Please\u00a0<a href=\"http:\/\/veteranroundtable.org\/backup\/wp-content\/uploads\/2013\/10\/Roundtable-Membership-Application-FINAL-10-01-13.pdf\">DOWNLOAD THE APPLICATION (PDF)<\/a> and send it to<\/p>\n<p>or fill out the online application below<\/p>\n\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_2' style='display:none'><a id='gf_2' class='gform_anchor' ><\/a><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/backup\/wp-json\/wp\/v2\/pages\/206#gf_2'>\n        <div id='gf_progressbar_wrapper_2' class='gf_progressbar_wrapper'>\n            <h3 class='gf_progressbar_title'>Step 1 of 3\n        <\/h3>\n            <div class='gf_progressbar'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform_body'><div id='gform_page_2_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_9'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Business Info<\/h2><\/li><li id='field_2_1'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_1' >Business Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_2_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_2'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_2_2' >\n                         <span class='ginput_full address_line_1' id='input_2_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_2_2_1' value=''    aria-required=\"true\"\/>\n                                        <label for='input_2_2_1' id='input_2_2_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_2_2_container' >\n                                        <input type='text' name='input_2.2' id='input_2_2_2' value=''   \/>\n                                        <label for='input_2_2_2' id='input_2_2_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_2_2_3' value=''   \/>\n                                    <label for='input_2_2_3' id='input_2_2_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_2_4_container' >\n                                        <select name='input_2.4' id='input_2_2_4'     aria-required=\"true\"><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_2_2_4' id='input_2_2_4_label' >State<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_2_5_container' >\n                                    <input type='text' name='input_2.5' id='input_2_2_5' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_2_5' id='input_2_2_5_label' >ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_2_2_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_3'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_3' >Business Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_2_3' type='tel' value='' class='medium'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_4'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_4' >Website<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_4' id='input_2_4' type='url' value='' class='large'       aria-invalid=\"false\"\/>\n                <\/div><\/li><li id='field_2_5'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_5' >Brief Description of Business:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_5' id='input_2_5' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_6'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_6' >Primary Industries:<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_2_6' type='text' value='' class='large'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_7'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_7' >NAICS Codes:<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_2_7' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_8'  class='gfield gf_list_4col field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Check all that Apply:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_8'><li class='gchoice_2_8_1'>\n\t\t\t\t\t\t\t\t<input name='input_8.1' type='checkbox'  value='SDVOSB'  id='choice_2_8_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_8_1' id='label_2_8_1'>SDVOSB<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_8_2'>\n\t\t\t\t\t\t\t\t<input name='input_8.2' type='checkbox'  value='VOSB'  id='choice_2_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_8_2' id='label_2_8_2'>VOSB<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_8_3'>\n\t\t\t\t\t\t\t\t<input name='input_8.3' type='checkbox'  value='8A'  id='choice_2_8_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_8_3' id='label_2_8_3'>8A<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_8_4'>\n\t\t\t\t\t\t\t\t<input name='input_8.4' type='checkbox'  value='WO (Woman-Owned)'  id='choice_2_8_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_8_4' id='label_2_8_4'>WO (Woman-Owned)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_8_5'>\n\t\t\t\t\t\t\t\t<input name='input_8.5' type='checkbox'  value='SDB'  id='choice_2_8_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_8_5' id='label_2_8_5'>SDB<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_8_6'>\n\t\t\t\t\t\t\t\t<input name='input_8.6' type='checkbox'  value='MBE'  id='choice_2_8_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_8_6' id='label_2_8_6'>MBE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_8_7'>\n\t\t\t\t\t\t\t\t<input name='input_8.7' type='checkbox'  value='HUBZone'  id='choice_2_8_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_8_7' id='label_2_8_7'>HUBZone<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                         <input type='button' id='gform_next_button_2_10' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_11'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Business Contact<\/h2><\/li><li id='field_2_12'  class='gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Contact Name:<\/label><div class='ginput_container ginput_container_name'>\n                                    <input name='input_12' id='input_2_12' type='text' value='' class='medium'    aria-invalid=\"false\" \/>\n                                <\/div><\/li><li id='field_2_13'  class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_13' >Title:<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_2_13' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_14'  class='gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_14' >Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_14' id='input_2_14' type='email' value='' class='medium'     aria-invalid=\"false\"\/>\n                        <\/div><\/li><li id='field_2_15'  class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_15' >Work Phone:<\/label><div class='ginput_container ginput_container_phone'><input name='input_15' id='input_2_15' type='tel' value='' class='medium'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_16'  class='gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_16' >Cell Phone:<\/label><div class='ginput_container ginput_container_phone'><input name='input_16' id='input_2_16' type='tel' value='' class='medium'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_17'  class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_17' >Contact Fax:<\/label><div class='ginput_container ginput_container_phone'><input name='input_17' id='input_2_17' type='tel' value='' class='medium'    aria-invalid=\"false\" \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_2_18' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"1\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"1\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_18' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_3' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_19'  class='gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Member Level:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_19'><li class='gchoice_2_19_0'><input name='input_19' type='radio' value='Veteran Membership'  id='choice_2_19_0'    \/><label for='choice_2_19_0' id='label_2_19_0'>Veteran Membership<\/label><\/li><li class='gchoice_2_19_1'><input name='input_19' type='radio' value='Corporate Member'  id='choice_2_19_1'    \/><label for='choice_2_19_1' id='label_2_19_1'>Corporate Member<\/label><\/li><li class='gchoice_2_19_2'><input name='input_19' type='radio' value='Partner Member'  id='choice_2_19_2'    \/><label for='choice_2_19_2' id='label_2_19_2'>Partner Member<\/label><\/li><li class='gchoice_2_19_3'><input name='input_19' type='radio' value='Associate Member'  id='choice_2_19_3'    \/><label for='choice_2_19_3' id='label_2_19_3'>Associate Member<\/label><\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_2_19'><ul>\n\t<li><strong>Veteran Members <\/strong>are those Veterans  who principally own any Veteran Owned Business.<\/li>\n\t<li><b>Corporate Membership <\/b>is open to any company who supports the utilization of Veteran Owned Businesses.<\/li>\n\t<li><b>Partner Members <\/b>are for individuals or companies who partner with Veteran Owned businesses<\/li>\n\t<li><b>Associate Members <\/b>are individuals who support the utilization of Veteran Owned Businesses.<\/li>\n<\/ul><\/div><\/li><li id='field_2_20'  class='gfield gf_list_2col gfield_price gfield_price_2_20 gfield_product_2_20 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Veteran Membership<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_20'><li class='gchoice_2_20_0'><input name='input_20' type='radio' value='&lt; 1M -  $150.00|150'  id='choice_2_20_0'    \/><label for='choice_2_20_0' id='label_2_20_0'>< 1M -  $150.00<\/label><\/li><li class='gchoice_2_20_1'><input name='input_20' type='radio' value='1 to 5M -  $250.00|250'  id='choice_2_20_1'    \/><label for='choice_2_20_1' id='label_2_20_1'>1 to 5M -  $250.00<\/label><\/li><li class='gchoice_2_20_2'><input name='input_20' type='radio' value='5 to 10M -  $350.00|350'  id='choice_2_20_2'    \/><label for='choice_2_20_2' id='label_2_20_2'>5 to 10M -  $350.00<\/label><\/li><li class='gchoice_2_20_3'><input name='input_20' type='radio' value='10 to 20M -  $500.00|500'  id='choice_2_20_3'    \/><label for='choice_2_20_3' id='label_2_20_3'>10 to 20M -  $500.00<\/label><\/li><li class='gchoice_2_20_4'><input name='input_20' type='radio' value='20M -  $2,000.00|2000'  id='choice_2_20_4'    \/><label for='choice_2_20_4' id='label_2_20_4'>20M -  $2,000.00<\/label><\/li><\/ul><\/div><\/li><li id='field_2_21'  class='gfield gf_list_2col gfield_price gfield_price_2_21 gfield_product_2_21 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Corporate Member<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_21'><li class='gchoice_2_21_0'><input name='input_21' type='radio' value='&lt; 1 Billion -  $ 3,000.00|3000'  id='choice_2_21_0'    \/><label for='choice_2_21_0' id='label_2_21_0'>< 1 Billion -  $ 3,000.00<\/label><\/li><li class='gchoice_2_21_1'><input name='input_21' type='radio' value='&gt; 1 Billion -  $ 4,000.00|4000'  id='choice_2_21_1'    \/><label for='choice_2_21_1' id='label_2_21_1'>> 1 Billion -  $ 4,000.00<\/label><\/li><\/ul><\/div><\/li><li id='field_2_22'  class='gfield gfield_price gfield_price_2_22 gfield_product_2_22 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_22_1' >Partner Member<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_22.1' value='Partner Member' class='gform_hidden' \/>\n\t\t\t\t\t<span class='ginput_product_price_label'>Price:<\/span> <span class='ginput_product_price' id='input_2_22'>$500.00<\/span>\n\t\t\t\t\t<input type='hidden' name='input_22.2' id='ginput_base_price_2_22' class='gform_hidden' value='$500.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_22.3' value='1' class='ginput_quantity_2_22 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id='field_2_23'  class='gfield gfield_price gfield_price_2_23 gfield_product_2_23 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_23_1' >Associate Member<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_23.1' value='Associate Member' class='gform_hidden' \/>\n\t\t\t\t\t<span class='ginput_product_price_label'>Price:<\/span> <span class='ginput_product_price' id='input_2_23'>$100.00<\/span>\n\t\t\t\t\t<input type='hidden' name='input_23.2' id='ginput_base_price_2_23' class='gform_hidden' value='$100.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_23.3' value='1' class='ginput_quantity_2_23 gform_hidden' \/>\n\t\t\t\t<\/div><\/li>\n                            <\/ul><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_2' class='gform_previous_button button' 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