Cornell Angel Network - Do good and do well

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Registration form for Cornell Angels
(Required Fields have an * next to them)

*	I HAVE READ AND AGREE TO THE TERMS OF USE AND PRIVACY POLICY AND BY USING THIS SITE AGREE TO ABIDE BY THE TERMS AND CONDITIONS THEREOF.
After you click submit, you must complete the accredited investor form

Cornell Angel Network members must be Cornellians (alums, current faculty and staff members, or members of CCTEC’s Industry Advisory Group (IAG)).
Must be an accredited investor.

Account Information (all fields are required)
*Username	Choose username
*Password	Choose password
*Password again
Contact Information

Upload Picture :	(accepted file types: .jpg, .gif, .bmp and .png)
* First Name:
* Last Name:
* Email
* Phone
*Street Address
Street Address 2
*City
*State
*Zip Code
*Country
*Cornell Connection (required)
	Faculty Staff Alumnus Industry Advisory Group
	If you are a student at the Johnson Graduate School of Management and are interested in volunteering some time to support investment efforts, please check this box
Personal Information (all fields are optional)
	Tell us about yourself (this information will appear on your member profile and can be edited at any time)
Industries of interest	All Industries Agriculture Biotechnology Business products and services Consumer products and services Electronics and instrumentation Energy and fuels IT services Media and Entertainment Medical devices and equipment Other Retailing / Distribution Software Telecommunications