Application

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First Name

Last Name

Linkedin (or other social media account)

Position

Company

Birthday

Other - How did you hear about us?

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Phone

Tell us about yourself : your industry, company annual revenue, number of employees under your responsibility, How many years of management experience do you have, special achievements and more

What would you like to get from Elle Society and who would you like to meet?

payment details

Card Holder Name

Card Holder ID

Card Number

Exp. date

C.V.V

Discount Code

I approve a payment of 3800$ if my membership will be accepted

By submitting this form, I acknowledge that this information will be shared with Elle Society and Its partners. I accept communication from Elle Society and understand I can opt-out at any time.

Thanks for applying. Answers can take up to 6 months. In case you get accepted, we will be in touch with further instructions!