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Baylor Angel Network

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Thank you for your interest in joining the Baylor Angel Network. Please review the Membership and Conduct Policies or download a copy of Membership and Conduct Policies. before completing your application. If you have any questions or concerns, please contact us at (254) 710-3724.

Name

* Indicates Required Field

First Name* Last Name*

Contact Info Email* Street Address* City* State* Zip/Postal Code - Phone Number* -

Membership Type and Minimum Contribution
Angel Investor Membership - $1500
Family Office Membership (up to 3 named individuals) - $2500
Young Angel (under 40) - $750
Baylor Employee - $750

Total Contribution to Support the BAN Student Practicum The BAN Analyst student practicum relies on the annual contribution of our members. If you would like to contribute more than the minimum amount, please designate the new total gift amount (no commas or decimals). Thank you for your support! $

Membership Qualifications Membership Requirements I HAVE READ AND UNDERSTAND AND AGREE THAT I FULFILL THE BAN MEMBERSHIP QUALIFICATIONS.*

Contact Information Release I agree to allow BAN to publish my name to other BAN members. Yes
No
I agree to allow BAN to publish my email to other BAN members. Yes
No
I agree to allow BAN to publish my phone number to other BAN members Yes
No
I agree to allow BAN to publish my name as a member of BAN in newsletters or publications. Yes
No

Gifts on Exit Given that one of the goals of BAN members is to provide funding to the Hankamer School of Business, please indicate the percentage of profit that you tentatively plan to donate from your investment. Upon my exit, I anticipate donating the following percentage of my profits.*

Payment Option
Pay online using Baylor’s Secure Giving Portal.
Pay by check
(If paying by check, please send checks to:
Baylor Angel Network
ATTN:Steven Diedrich
One Bear Place #98001
Waco, TX 76798-8001)

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