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Membership Form

Membership Form

Nonprofit Partnership Membership Inquiry Form

After e-mail confirmation of this registration, please mail payment, your organization’s mission statement and/or a brief description of the services you provide to:
The Nonprofit Partnership, PO Box 1698, Erie, PA 16507-0698
Make check payable to “The Nonprofit Partnership”

Executive Director
Organization
Agency Address
City/State/ZIP
Executive Director e-mail
Executive Director telephone
Executive Director fax
Board Chair
Address of Preferred Contact	Please indicate if a business name should be included in address
City/State/ZIP
Board Chair e-mail
Board Chair telephone
Fax
Development Director
Development Director e-mail
Contact person for dissemination of NPP information	Executive Director Board Chair Development Director Other (complete form below)
Name
Title
Address
City/State/ZIP
Phone
E-mail