Name* First Last Company NameProfessional TitleEmail* PhoneCountry*AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweState*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificProvince / Territory*AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonCity*Please indicate your preferred method of contact*EmailPhoneHow did you hear about TIGER 21?*Chair ReferralInternet SearchMember ReferralPress and TVSocial MediaTIGER 21 StaffPlease Specify*What is your reason for contacting TIGER 21?*Chair InquiryMedia InquiryMembership InquiryPartnership InquiryPresenter InquiryOther Reason for InquirySubmitted Form*YesNoMembership InquiryAre you Interested in T21 Membership?*YesNoPlease indicate what location(s) you would be interested in joining TIGER 21.*AtlantaAustinBaltimoreBostonCalgaryCharlotteChicagoDallas-Ft. WorthDenverDetroitEdmontonFort LauderdaleGenevaHoustonLondonLos AngelesMiamiMontrealNaplesNashvilleNew York CityOrange CountyOrlandoPalm BeachPhiladelphiaPhoenix-ScottsdaleSan DiegoSan FranciscoSan JoseSeattleTampa BayTorontoVancouverWashington, DCWinnipegZurichAmsterdam - UpcomingBerlin - UpcomingBrussels - UpcomingCincinnati - UpcomingCleveland - UpcomingHong Kong - UpcomingIndianapolis - UpcomingJacksonville - UpcomingLas Vegas - UpcomingMadrid - UpcomingMinneapolis - UpcomingMunich - UpcomingOsaka - UpcomingParis - UpcomingPittsburgh - UpcomingPortland - UpcomingSacramento - UpcomingSalt Lake City - UpcomingSan Antonio - UpcomingSeoul - UpcomingShanghai - UpcomingSingapore - UpcomingSt. Louis - UpcomingStockholm - UpcomingSydney - UpcomingTokyo - UpcomingPlease see below for criteria for TIGER 21 Membership. $10MM in Investable Assets* Readiness to share Willingness to learn Commitment to not solicit Commitment to attend monthly meetings *Please note that meeting the specific quantitative requirement of a minimum of $10MM in investable assets does not automatically guarantee admittance into TIGER 21. There are other important, less easily defined requirements that also need to be met. These are qualitative in nature and are at the discretion of TIGER 21 and the Chair of the GroupDo you meet the criteria for TIGER 21 Membership stated above?*YesNoPlease tell us anything about yourself that would help us learn more about how TIGER 21 can support you to achieve your goals.Media InquiryPlease provide a description of the media opportunity or partnership you would like to pursue with TIGER 21.*Please provide any additional commentsChair InquiryPlease upload your Resume / CV / Executive Bio*If you have additional information you would like to provide (LinkedIn Profile, Personal Website, Biography, etc.) please provide a URL below. Please share any other information about your candidacy and background that we might find helpful.*Partnership InquiryPlease provide a description of the partnership you would like to pursue with TIGER 21.*Please provide any additional commentsPresenter InquiryArea of Expertise*Discussion Topic*Please elaborate on what your presentation would cover and provide any URLs that would be beneficial in assessing whether your area of expertise is a fit for TIGER 21.*Please share any presentations or documents that would be beneficial in assessing whether your area of expertise is a fit for TIGER 21. Drop files here or Please provide any additional commentsOther InquiryPlease tell us about the nature of your inquiry.*NameThis field is for validation purposes and should be left unchanged.
