Vendor Membership Registration Investor Lab Vendor Membership Registration Vendor Information Please provide the following information for your company. This information will be used to create your online listing. Company Name * Company Website/URL * General Contact Email * General Contact Phone Number * Company Address * Company Address Company Address Company Address City City State/Province State/Province Zip/Postal Zip/Postal Country United States Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Description of your business (1-2 sentences). This will be used to create your online company profile and social media shout-outs. * Logo Files Please upload your logo here! Choose File Maximum upload size: 20.97MB Please upload a high-resolution one-color or black version of your logo for digital marketing. PNG or Vector files preferred. You may also email your files to [email protected]. Account Information Please answer the following questions. Your answers will be used to finalize your Vendor Membership. How many people will be on your vendor account? * Each vendor membership includes up to three individuals. Additional people can be added to your account for $124.99/year each. Please email us directly if your membership will include more than 6 company representatives. 123 (Standard)456Other How many people will be on your vendor account? Please select your primary Investor Lab location * PortlandYamhill Valley *Members can attend all Investor Lab events regardless of sponsoring location but must select a home location for their membership. Account Owner Information Please share your information or the information of the account owner. This will be the responsible party for payment, adding and removing company representatives, and the point of contact for the Investor Lab team. First Name * Last Name * Business Title * Email * Phone * Vendor Team Member #2 First Name * Last Name * Business Title * Email * Phone * Vendor Team Member #3 First Name * Last Name * Business Title * Email * Phone * Vendor Team Member #4 First Name * Last Name * Business Title * Email * Phone * Vendor Team Member #5 First Name * Last Name * Business Title * Email * Phone * Vendor Team Member #6 First Name * Last Name * Business Title * Email * Phone * I accept the terms and conditions of Investor Lab's Vendor Membership * *Please note, we only accept payments via credit card. Vendor memberships are set up as an annual subscription. Our full terms and conditions can be found HERE. Yes reCAPTCHA If you are human, leave this field blank. Submit