Membership APPLY

All prospective members of Billionaire Boys Club are required to complete this registration form. Membership runs from date of acceptance to the same day the following year.

Prospective Member: The BBC, due to various connections with possible investors, other members and more, we seek to limit membership to those we can verify are real individuals and are not currently on a wanted list of various governments or on Interpol. Please provide the following information which will be kept confidential, available only to a few executives to determine membership and will never be provided outside the security area of the BBC.

SECTION 1: MEMBER CONTACT INFORMATION

REGION *
COUNTRY *
STATE **
ADDRESS 1 *
ADDRESS 2
ADDRESS 3
TOWN/CITY *
POSTAL CODE *
ID TYPE *
ID NUMBER *
ID EXPIRE *
TITLE *
FIRST NAME * (Given Name)
Middle Name
LAST NAME * (Family Name)
Nickname
CELL TELEPHONE *

(if different)

WORK TELEPHONE

(if different)

HOME TELEPHONE

(if different)

SITE LISTED PHONE ***

(if different)

OTHER PHONE

(if different)

PRIMARY EMAIL
SITE LISTED EMAIL ***
DATE OF BIRTH *
STATUS *
APPROXIMATE NET WORTH *

* Required Information

** Required for countries that have ‘states’.

*** The e-mail and phone number you would like listed in the directory. You are NOT required to have a phone number or email listed on the site. This is Optional.

SECTION 2: WORK INFORMATION

I AM A *

REASON FOR MEMBERSHIP *

MY PROFESSION: *

SUMMARY OF YOUR BUSINESS OR WORK

MY COMPANY OR BUSINESS NAME: *

ARE YOU AN ACCREDITED INVESTOR ? *

Accredited Investor ? Wording:

  1. A natural person who has individual net worth, or joint net worth with the person's spouse, that exceeds $1 million at the time of the purchase, or has assets under management of $1 million or above, excluding the value of the individual's primary residence.
  2. A natural person with income exceeding $200,000 in each of the two most recent years or joint income with a spouse exceeding $300,000 for those years and a reasonable expectation of the same income level in the current year.

COMPANY WEBSITE

ARE YOU AN INVESTOR OR LOOKING FOR MONEY OR BOTH ?

* Required Information

** Required for countries that have ‘states’.

*** The e-mail and phone number you would like listed in the directory. You are NOT required to have a phone number or email listed on the site. This is Optional.

**** You must prove you are Italian

SECTION 3 MEMBERSHIP AUTHORIZATIONS

Authorize submission of you into Mavericks & Mavens Mavericks & Mavens is the Who's Who of Entrepreneurs and their Projects.

Authorize BBC to send you notices when new sections of the site are available and special offers

Authorize your image to be used in Membership Member authorizes use of their image in various communications with BBC Staff and within sections of the site that requires an image like ManCave, Mavericks & Mavens, Membership, Gold Mine, BBC Capital Fund, Big Ideas and other sections requiring the members image.

BBC has my permission to use my image and identify me.

BBC has my permission to use my image but not identify me.

Membership is limited and management of Billionaire Boys Club has the exclusive right to deny or cancel any membership they deem not characteristic of what the company is seeking of members.