STEP 1: Complete 10,000 Friends Membership Profile

STEP 2: Pay $10.00 Annual Membership Fee (non-renewing) via Paypal.com

 

 

 

Thank you for your interest in joining 10,000 Little (micro) Ideas to Keep You Believing in Cleveland. We are a grassroots organization led by Emerging Leaders whose focus is on taking positive ideas and turning them into action within NEO. The team of people behind 10,000 believe that even the simplest idea by a single person can hold the key to great prosperity and quality of life for our entire community. One person can make a difference!

  

10,000 Friends Membership Profile
* All fields with a red star are required
First Name:*

Last Name:*

Title:

Company Name:

Email:* 

Home Phone:(xxx) xxx-xxxx

Phone 2: (xxx) xxx-xxxx + Ext #

Street 1:*

Street 2:

City:* 

State:*

Zip/Postal Code:*


Demographic Information:
Age:

Gender:


Areas of Interest: (Check all that apply)
 Non-profits Initiatives
 Economic Growth Initiatives
 Sustainable - Green Initiatives
 Lifestyle Initiatives
 Idea Incubator Initiatives
 Develop Future Leaders Initiatives

Volunteer:
 I am interested in becoming an active volunteer in the 10,000 Little Ideas Movement
 Check here if you have a special knowledge or skill you want lend to the organization
   If you checked the box, please describe your knowledge or skill:
   
Please tell us how you found out about our organization:

What other organizations do you belong to:

Permission to contact:
 I want the 10,000 Little (micro) Ideas organization to contact me with initiatives and events.
 I want to receive contact from other 3rd-Party partners of 10,000 Little (micro) Ideas who
   are making a difference in Northeast Ohio
After submitting your profile, you will begin registration 
Step 2: Payment via Paypal.com