Membership Form

Annual Membership Dues

Please select below the Support Level that corresponds with your organization’s budget.

Organizational Members (Dues $100-$1000 depending on organization’s budget) participate in all of our working teams and events, and in policy and strategy development on specific advocacy efforts, and more. Organizations members in good standing are also eligible to participate in elections and on our Board.

Supporting Members ($1500 Annually) include larger organizations, and others who support our principals and goals, and who are willing to invest to advance our shared efforts. Supporting members work closely with our other members, including participation in our policy teams and advocacy work.

Community Builders ($2500 Annually) include larger and more well-resourced organizations, foundations and other agencies that choose to support and uplift our work, and may or may not participate directly in our policy and advocacy work.

As valued members of our Coalition, Supporting Members and Community Builders are encouraged to participate in all events and are recognized for providing the support, insight and encouragement essential to our shared work.

Membership Option

Amount

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Contact Information

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Last Name

Organization Name

Address

Address 2

City

State/Province

Zip/Postal Code

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Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

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State/Province

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