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Nonprofit Membership Form

Type
Do not enter a dash
First Name *
Last Name *
Country
Address Line 1 *
City *
State/Province *
Postal Code *
Subsector
Full- and Part-Time (Not FTEs)
Name, Title and Email
Membership Dues
Operating Budget = Dues
Payment Option
Credit Card Information
Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged