"*" indicates required fields Step 1 of 2 50% Your InformationName* First Last Email* Mobile Number*Your Title*Company InformationCompany Name*Company StructureSelect...LLCB CorporationC CorporationS CorporationOtherYear FoundedPlease enter a number from 1700 to 2500.Revenue AmountPlease enter the total annual revenue (USD) from your last fiscal yearRevenue ValueSelect...MillionBillionThis field is hidden when viewing the formCombined RevenueNumber of EmployeesNumber of years profitablePlease enter a number from 1 to 999.Company WebsitePlease include the domain name only (ie tugboatinstitute.com).Company Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country What Makes You An Evergreen Entrepreneur?We define Evergreen® entrepreneurs as purpose-driven leaders with the grit and resourcefulness to build and scale private, profitable, enduring, and market-leading businesses that make a dent in the universe. They measure success by how well they deliver on their mission and embody the Evergreen 7Ps® principles: Purpose, Perseverance, People, Profit, Private, Paced Growth, & Pragmatic Innovation.What drives, or has driven, you to be an Evergreen entrepreneur?How would you describe your company to a friend? How does it meet our membership criteria?What experiences and insights on best practices can you share with our community?What do you hope to get out of your membership in Tugboat Institute?How did you hear about us?The Tugboat Institute Member PledgeI am willing to help co-create the Institute and to advance the Evergreen movement. I look forward to being part of a safe haven for entrepreneurs and leaders devoted to building purpose-driven, profitable, impactful companies at scale that will make the world a better place. I pledge that I will be inclusive, supportive, transparent, curious, and non-judgmental with every member, and I will strive to give more than I take. I respect that confidentiality is essential to fostering trust and meaningful relationships. I look forward to convening and conversing with members and with a carefully curated extended network of Evergreen thought leaders and expert advisors. I will refrain from bringing up contentious political topics in such a way that could polarize other members. While we encourage Evergreen companies to work with Evergreen companies when viewed as mutually beneficial, I understand there is no general soliciting of the membership.Accept Pledge* I accept the Tugboat Institute Member pledge