Membership Application

Name *
Name
On what date would you like your membership to begin?
On what date would you like your membership to begin?
Phone
Phone
Mailing Address *
Mailing Address
(Goals, values, how it's connected to the Durham community, etc.)
(Website, Facebook, etc.)
http://
http://
I have read and agree to the Working at Mercury Studio document, linked below. *
I have read and agree to the Terms of Use document, linked below. *
I understand that all coworking memberships include a $50 key deposit per key.
I understand that there will be a 3% processing fee added to credit card payments.
I understand that there will be a 10% late charge incurred per week on all past-due membership fees.