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Which membership would you like?*

Floating Membership: $100/month (On sale for $50/month)
Cube Membership: $200/month
Office Membership: $300/month

Which cube would you like?*

When would you like your membership to start?*

As soon as possible
The first day of this coming month

How long would you like the lease to be?*

3 Month Trial
1 Year
2 Years

Your Legal Name*

First Middle Last

Email

Phone*

Address*

Street Address City State / Province / Region ZIP / Postal Code

**In order to become a member of WORKSPACE, we require a simple background check for everyone. This is because members here need to know that they can leave their computers, etc. on their desk without fear of theft or damage. We will also have security cameras, but we want an added layer of security for everyone’s sake. For this reason, there is a $40 application fee to become a member, and that is only to pay for the background check.

We also require your social security number, date of birth, and a photo of your driver's license to run the check. If you prefer to email this instead, please email info@workspacedickson.com or text Ande at 336-693-4311.

Thank you for your understanding and partnership in making WORKSPACE a safe place to work.

Social Security Number

Date of Birth*

Photo of your driver's license (Use your phone, camera, or scan the image in)*

Signature*

**Application Fee: After you click Submit below, you will be directed to a PayPal payment page.*

Price: $40.00

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