Jamie's List Membership Application inactive
Once submitted, your application will be under review with our team.
Email
*
1.
First Name
*
2.
Last Name
*
3.
Email Address
*
4.
Mailing Address (If you'd like to receive Jamie's List member gifts)
5.
Mobile Phone (opt-in to be added to the members WhatsApp)
6.
Age
*
18-29
30-45
46-64
65+
7.
Industry (select all that apply)
*
Art
Entertainment
Fashion & Beauty
Finance
Healthcare
Law
Marketing & PR
Other
Real Estate
Sports
Technology
8.
Gender
*
Male
Female
9.
Company Name
10.
Job Title
11.
Instagram Handle (put N/A if not applicable)
*
12.
LinkedIn Handle (put N/A is not applicable)
*
13.
Please list members you know, if any (put N/A is not applicable)
*
14.
What do you hope to get out of your membership in the Jamie's List community?
*
Characters remaining: 400
15.
Please provide a short bio below. This can include your favorite restaurants, media consumption habits, interests, family life, career, and more. This is a place to let us know who you are and what you will contribute to our Membership Community.
*
Characters remaining: 400