Annual Membership Dues Renewal Form

Annual Membership Dues Renewal Form

For the period July 1, 2024 through June 30, 2025. Please make sure to fill in the required fields and submit this form to process your membership dues payment. Thank you.
Once you make your selection and submit the form, an invoice will be forwarded to you for payment.

MBIA FY25 Membership Rates

Organization Levels	Entrepreneurial Support Organizations (ESO)	Ecosystem Builders (EB)	Ecosystem Supporters (ES)
Bronze (3 seats)	$525	$675	$900
Silver (4-6 seats)	$700	$900	$1,200
Gold (7-10 seats)	$1,050	$1,350	$1,800

Individual Supporter - $250

Entrepreneurial Support Organizations (ESO). ESO Membership is open to any entity that provides structured programming for and/or offers office or lab space specifically to early and growth-stage startups within Maryland.
Ecosystem Builders (EB). EB Membership is open to any entity, including but not limited to those involved in the development and promotion of the Maryland Entrepreneurial Ecosystem such as economic development organizations, government institutions, and industry associations.
Ecosystem Supporters (ES). ES Membership is open to any entity that shares an interest in the success of the Maryland Innovation Ecosystem and supports MBIA’s Mission and Objectives, including, but not limited to, professional service providers and angel networks and venture capital firms.
Individual Supporter (IS). IS Membership is open to any individual who shares an interest in the success of the Maryland Innovation Ecosystem and supports MBIA’s Mission and Objectives. IS membership is not transferable.

Select Membership Category*
Select ESO Membership Level*
Select Organization Name*
Full Name*

First NameLast Name
E-mail*

Confirmation Emailexample@example.com
Phone*
Financial Contact Name (if different than Primary Contact)

First NameLast Name
Email

Confirmation Emailexample@example.com
Phone Number
Please enter a valid phone number.
Additional seats (i.e. persons) covered by membership
Should be Empty: