North Dakota Association of Nonprofit Organizations : About : Become a Member : Nonprofit Membership Form

Type

Nonprofit Organization

Tax Exempt Number/Employer Identification Number (EIN)

Do not enter a dash

Primary Organizational Contact

First Name *

Last Name *

Title

Mailing Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Phone

Website

Subsector

501(c) Subsection Designation (e.g., 3, 6, etc.)

Facebook Page

Twitter Profile

Number of Staff Members

Full- and Part-Time (Not FTEs)

Number of Board Members

Secondary Organizational Contact

Name, Title and Email

Membership Dues

Operating Budget = Dues

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Payment Option

Cardholder Name

Credit Card #

Visa MasterCard American Express Discover

Expiration Date

Security Code

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged