Public Site: Online Membership Application Form


I am a practicing Catholic, in good standing with the Church, and I'm interested in joining Legatus. I'm providing my business/contact information. Please have a representative contact me. Note, only Catholic laypersons are eligible. Emeritus and those under the age of 40 that meet 75% of the full criteria may also qualify for membership. Please see Membership Criteria page for complete details.
* Required fields
First Name:		*
Middle or Initial:
Last Name:		*
Spouse First Name:
Spouse Middle Name:
Spouse Last Name:
Primary Business:		*
FT Employees: x		* (do not use commas)
Annual Volume/Value: x		* (in Millions, e.g. 5.1)
Business/Co. Name:		*
Qualifying Job Title:		*
Bus Address Line 1:		*
Bus Address Line 2:
Bus City:		*
Bus State/Province:		*
Bus Zip (5 digit):		*
Bus Phone:		*
Bus Fax:
Bus Email:		*
Website:		(include http://www. )
Alternate Phone:		(e.g., Home)
Reference Source:		* What lead you to Legatus?
X Describe your business (for other members, ie, your business specialty--500 character limit):

I'd like to have a representative contact me before I provide my all contact information. (For follow up, I'll provide a phone number and the state where my business resides.)