Nonprofit Resources, Inc.

Membership Application

Organization Name: ___________________________________________

Executive Director: _____________________________________________

Mission: ______________________________________________________

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Is the organization a 501(c)(3)? ____ yes ____ no

If not, please describe: ___________________________________________

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Address: ______________________________________________________

City: _________________________________________________________

Zip: __________________________________________________________

Phone: _______________________________________________________

FAX: _________________________________________________________

E-mail: _______________________________________________________


Return this form with a check for $75 for a one-year membership in Nonprofit Resources, Inc.

Membership