LEGACY MEMBER (SUPPORTER, BENEFACTOR, or PATRON)

1 Start 2 Payment 3 Confirm Submission 4 Complete

About You

Name Prefix

First Name *

Middle Name

Last Name *

Street Address *

City *

Postal Code *

Country *

State/Province *

Phone Number (w/Country Code) *

Email *

Website *

Membership Type *

Affiliations

Company Name *

Name of your employer

Company Job Title *

Title and role at your current company

Harvard Degree/Program *

Lists Preferred Harvard school affiliation

Harvard Class Year *

Affiliated Harvard School Class Year

ENTREPRENEUR TYPE *

Harvard Email (for faster verification) *

Are you Alumni or Faculty or Staff or Student or N/A *

Chapter Affiliation *

Select you Harvard AE Chapter that you belong to or prefer to attend events

If Faculty Enter School or Department

Leave this field blank