Membership Form

Your Contact Information

First Name: *

Last Name: *

Title: *

Your Email: *

Please enter your tribe’s email — no personal emails like Gmail, Yahoo, etc.

Your Phone: *

Please enter the best number to contact you at if we have questions about your application.

Billing Contact Information

Billing First Name: *

Billing Last Name: *

Billing Title: *

Billing Email: *

Please enter the organization’s (tribal government, enterprise, health center) email — no personal emails like Gmail, Yahoo, etc.

Billing Phone: *

Organization’s Information

Organization Name (tribal government, enterprise, health center): *

Organization’s Mailing Address: *

City: *

State: *

ZIP: *

Please enter either a 5 digit ZIP or 5+4 digit zip (i.e. 12345-6789)

Membership Details

TribalHub Membership Status: *

Membership Type: *

All memberships are billed annually.

Share My Contact Info: *

I give permission for my tribe name or tribal enterprise name to be displayed in public listings of TribalHub members and/or social media platforms.

Comments/Questions:

Optional: let us know if you have any questions or comments. For Group and All-In membership applications, please let us know the names, emails, and titles of the additional members you want added.

I agree:

I have read and agree to the TribalHub Privacy Policy and Terms and Conditions .

All applications are subject to approval, are good for 1 full year from date of approval, and will be contacted to renew on an annual basis. The billing Point of Contact will receive an invoice from bill.com and payment is due within 30 days. Once payment has been received, your account will be activated. Available payment options: ACH, check, American Express/Visa/MasterCard (will incur a 2.9% non-refundable convenience fee).

Membership Form

Connect to People

Connect to Information