AI Coalition Membership Intake Form Company Name * Authorized AI Coalition Executive * Email of Authorized Executive * Phone Number of Authorized Executive * Company Status * Seed Pre-Seed Series A Series B Name of Additional Executive * Number Of Other Authorized Executives With Coalition Seats * Email of Additional Executive * Cell Number of Additional Executive * Type of Membership * For pre-seed: Free until Seed or A is raised For Seed/A: $1,750/month For Series B and above and VC firms: $3,500/month Thank you for your submission!