Helium Foundation Membership Application
Supporting the Helium Foundation is an investment in the future of peer-to-peer wireless networks. Your membership plays a meaningful role in Network growth, public advocacy, and education.

Membership aligns your organization with innovation at the intersection of blockchain and wireless technologies. You'll benefit from promotional and event opportunities, receive the latest Foundation updates, and collaborate more closely with the community.
Sign in to Google to save your progress. Learn more
Email *
Legal Business Name *
Organization Address *
Primary Contact Full Name *
Primary Contact Title *
Primacy Contact Email *
Primary Contact Discord Handle
Billing Contact Full Name *
Billing Contact Email *
Membership Level *
Describe your products and services (please be specific on aspects of hardware and software) *
Does your organization have an industry focus or expertise? *
How long has your organization been in business? *
Where do you provide services? *
Required
Please explain your organization's interests in the Helium Network. *
Please share why your organization is interested in Helium Foundation membership and what you hope to achieve as a member. *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Decentralized Wireless Alliance. Report Abuse