Industry Member Application Select the level of membership Legacy - $5,000 Partner - $2,500 Advocate - $1,000 Colleague - $500 Name* First Last Title Organization Name Contact Email Contact Phone*Website* Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Type of services401(k) & 403(b) Retirement Plans401k-403b-retirement-plansExecutive Deferred Compensation PlansAccountants and AuditorsAdvertising/Marketing/Public RelationsAttorneysBanks & Financial ServicesBoard Development and TrainingBusiness and Office SuppliesCFO or ControllerComprehensive Financial/Retirement Planning for OrganizationComputer Equipment and Hardware Computer Equipment and HardwareComputer ServiceComputer Systems and SoftwareComputer TrainingConference and Event PlannersConflict Resolution and Mediation ServicesCredit UnionDiversity Training and ConsultingEmployee Assistance Program (EAP) and Employee WellnessEndowment & Foundation Investment ServicesEvaluationFundraising ConsultantsGrant WritersGraphic DesignersHealth InsuranceHuman Resources ServicesLiability and Commercial InsuranceLong Term Care InsuranceMailing ServicesManagement ConsultantsMoving ServicesOffice EquipmentOrganizational DevelopmentOtherPayroll ServicesPhotographersPrinters and Copying ServicesPromotional ItemsPublishing and Editorial ServicesReal Estate Real EstateResearchRetirement and Employee Savings ProgramsStrategic Planning ConsultantsTelecommunications Services and EquipmentTraining and Professional DevelopmentVideo Services and ProductionVolunteer ResourcesWeb site development and servicesDescription of ServicesPayment Options Check Pay with a debit or credit card Total $0.00 Make payable to Center for Nonprofit Advancement Indicate Industry Membership Level in Memo Mail to Taylor Strange, COO, Center for Nonprofit Advancement, 1666 K Street, NW, Suite 440, Washington, DC 20006 Credit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name Billing Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Δ
