Primary Member Details

First Name

Last Name

Email *

Phone *

NedSpace Membership Type *

Send me emails about: *

NedSpace Updates

Events

Company Info

Company / Organization Name *

Use your own name if you're solo.

Industry *

Address *

City *

State *

Postal code *

Building Amenities

NedSpace Memberships come with access to building amenities for our members.

Select all that you would like access to: *

Gym

Shower Rooms

Bike Storage

Emergency Contact

In the event of an emergency who should we contact on your behalf?

Emergency Contact Name *

Emergency Contact Phone *