GEO Member Registration for Complimentary Issuer memberships

Membership of GEO is complimentary for Corporate Issuers

Upon completion of this form, we will send you an email with your membership number and a request to complete your Personal Profile online.

Membership renewal is by automatic email prior to year end (30 June). If you have any questions about your membership, please contact:

Michele Holly
Operations Director
The Global Equity Organization
1442 E. Lincoln Avenue #487
Orange, CA 92865 USA

TEL USA: +1 714 630 2908
FAX USA: +1 253 423 8390

Email: Michele Holly

STEP ONE – What Is Your Contact Information

Salutation:

Last Name/Family Name*:

First Name/Given Name*:

Middle Initial:

Company Name*:

Job Title*:

Mailing Address*:

Mailing Address 2:

Mailing Address 3:

City*, State/Province, Postal Code*:

Country*:

Telephone Number*:

Fax Number:

Email Address*:

STEP TWO – Choose Your Username and Password
Your Username and Password are required to enter the Members Only areas of the GEO web site.

Please Note: Your username must be 4 to 10 alpha-numeric characters without spaces or punctuation.
WARNING: We will send confirmation of your registration by email with your username and password in an un-encrypted format. If your e-mails can be read by others or you are concerned about security, select a username and password that is not personally or commercially sensitive to you.

Choose a Username*

Choose a Password*

Verify Password*

STEP THREE – Select Your Chapter

Select Your Preferred Local Chapter:

If there is no local chapter in your area and you would like to start one, where would it be?

Would you like to serve on a
Local Chapter committee?

STEP FOUR – Send Us your Information
Please Note: The fields marked with an asterisk (*) must be completed and you must check
"Yes, I agree to uphold GEO's Guiding Principles..." before this form can be submitted successfully.

Yes

*I agree to uphold GEO's Guiding Principles
and to abide by the Terms & Conditions of Membership