Family Business Center of Hawaiʻi Application Family Business Center of Hawaiʻi Application Membership is subject to final approval by the advisory board. I would like to join as a: * Family Business Non-Family Business Yearly dues for family businesses: $1,750 on the Big Island and Maui, $2,000 on Oʻahu Yearly dues for non-family businesses (Network Partners): $3,500 on the Big Island and Maui, $4,000 on Oʻahu Island * Big Island Maui Oʻahu Primary Contact’s Information Name * Name First Name First Name Last Name Last Name Business Name * Title * Email * Phone Number * How did you hear about the FBCH? * Business Information Hawaii Tax License Number * Business Address * Business Address Business Address Business Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Website * What year was your company founded? * Briefly explain what your company does. * How many employees do you have? * less than 10 people10 - 30 people30 - 50 people50+ people How many shareholders do you have? How many family members are active in your business? * Which generation(s) runs the company? * What is your company’s annual revenue range? (confidential) * less than $2 million$2 million - $10 million$10 million - $25 million$25 million - $50 million$50 million - $100 million$100 million + Does your family business have an advisory board? * Yes No Does your family business have a board of directors? * Yes No Does your family business have a family council? * Yes No Does your family business have a private foundation? * Yes No Membership Information Why are you joining? (Check all that apply) * Education Networking/Social Member expertise Peer Group Other Which topics are you most interested in? (Check all that apply) * Boards/Business Governance Business Valuation Communication and Conflict Resolution Estate and Tax Planning Family Business Stewardship Family Employment/Compensation Strategies Family Meetings/Family Governance Family Wealth Management Intergenerational Relations Leadership Development Managing Non-Family Managers and Employees Ownership/Shareholder Issues Philanthropy/Family Foundation Selling the Family Business Strategic Planning Succession Planning Working with Outside Boards and Advisors Are you or any of your family members interested in joining the Next Generation Peer Group? * Yes No Maybe Member Affiliates You may add up to three family members to your membership. They’ll join our email list for event information and announcements. There is no additional fee for member affiliates. To add more than three, please contact us. Affiliate Name Affiliate Name First Name First Name Last Name Last Name Affiliate Job Title Affiliate Email Relationship to you Works in the family business? Yes No plus1 Add another family member minus1 Remove Member Affiliate You may add one additional person from your business to your membership. They’ll join our email list for event information and announcements. There is no additional fee. Affiliate Name Affiliate Name First Name First Name Last Name Last Name Affiliate Email By submitting this application, you agree to the annual membership fee. You also agree to maintain confidentiality of information discussed at all FBCH events. Lastly, you agree to respect our strict “no sell zone” policy and refrain from direct solicitation in all forms to preserve the trust of our members. * I agree to the above statements. Any additional comments? Submit Application If you are human, leave this field blank.