Form

Thank you for your interest in membership at BIÂN!

Please complete the form below for membership consideration. The more information you are willing to provide, the more streamlined our approval process becomes. A member of our membership team will be in touch within two weeks to discuss the next steps in our membership process. In the meantime, you will receive an email with instant access to our brochure with detailed offerings and pricing information.

First Name*

Last Name*

Email*

Phone Number*

Date of birth (must be 21 or older to join)

Online presence | (ie: LinkedIn, personal website, or social media)

Do you have a member referral? If so, please share their first name and last name. (Please know this is not mandatory). If not, please list N/A*

How did you hear about BIÂN*

Tell us a bit more about yourself

What attracts you to apply to our private club?*

Do you see yourself utilizing our club primarily for personal, professional, or both?*

Please include a recent photo of yourself so we can put a face to the name