Diamond Membership Form

Have you paid for your subscription? *

First Name *

Last Name *

Phone *

Email *

Address

City

State

Postal code

I wish not to provide my address and would like to pick up my membership card in person at an event (Check with Kumora for card status).

Pick up in person

Upload a headshot/logo of your company for your membership profile.

Headshot/Logo

Digital Business Card

Does Your Company Have Employees?

Yes

Company Name and Your Title

I agree to terms & conditions and Policy & Procedures provided by the company. By providing my phone number, I agree to receive text messages from the business. You have successfully opted-in to receive notifications and promotional SMS from Htown's Expert marketing. To opt in to the General Membership click HERE. To opt into Business Membership click HERE. Please reply STOP if you need to Opt-out in future.

Once You Have Completed This Form Be Sure To Check Your Email For Your Welcome Package!