Group

Name (Primary Contact) *

Name (Primary Contact)

This person is the primary point contact for your group

First Name

Last Name

Name of Group *

Email *

Phone *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

We are a

business

organization

cooperative

community space (house, rec center, etc.)

informal group / collective

farm / garden

other

Briefly describe the purpose or mission of your group *

Why do you want to join the network? (1-2 sentences) *

How did you hear about Solidarity Economy St. Louis?

Attended an event

Referred by another member

Website

Social Media

Other

Member Benefit Options *

What type of benefits or perks can you offer to other members of the network?

Discounts on goods and/or services

Skills or services

Item of exchange

Event / Meeting space

Other

Please elaborate on the benefit(s) that you can offer to members

Would you like to be listed as a member on the website? *

If so, please email your logo to solidaritystl@gmail.com after submitting your application.

Anything else you'd like to add?