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

0i2gf1ph876m

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

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

Payment Option

Cardholder Name

Credit Card #

Visa MasterCard American Express Discover

Expiration Date

Security Code

Your total payment will be