Membership Application – The Medici Society

Your Full Name

Contact Phone Number

Personal Email Address

Current Countries of Residence
(hold ctrl/cmd to select more than one country)

Primary motivation for joining?

How did you first hear about the Medici Society?

Have you been nominated by a current member?

If so, please provide member name(s).

Approximate net worth

Is there anything you would like to add about yourself that may help us consider you for membership?

Terms Acceptance

By completing this form, you agree that the Medici Society may collect you and use your personal information for vetting, background and personal checks, and other purposes, as set forth in our Privacy Policy. You further understand that applicants must submit a letter of intent as well as proof of funds for annual dues. Meeting membership criteria does not guarantee approval and are at the sole discretion of the Medici Society Board.