Membership Checkout Membership Level change You have selected the Tier 5 membership level. Organizations with budgets between $1,000,001 - $2,000,000 The dues for membership is $250 per Year. Account Information Already have an account? Log in here Username Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK Member Public Details Organization Name Organization Logo Organization Tagline Organization Purpose Phone Your organization's main phone number for the public to contact you Website Your organization's website address. Please format as http://yourwebsite.com or https://yourwebsite.com as appropriate. Email Your organization's main email address for the public to contact you Service Areas (Select up to 3) Adult/Family Services Arts Child/Youth Services Civic Participation/Convening Crisis Intervention Disability/Special Needs Domestic Violence Economic Development Education Emergency Assistance Employment/Workforce Environment Ethnic/Cultural Faith-based Financial Empowerment Food/Nutrition Health Housing/Homelessness Human Services Immigrant Support Land Use/Planning/Urbanism Legal/Justice Mental Health Parks/Outdoor Senior Services Supportive Housing Veteran/Military Other Member Administrator Details (These informational fields are not seen by the public) Member Type Nonprofit Organization Founder / Grantor Corporation / Business Donor Consultant Individual Donor Primary Contact Name Name of the person who will be administrating your account at Nonprofit Connect Primary Contact Email Email of the person who will be administrating your account at Nonprofit Connect Primary Contact Phone Phone of the person who will be administrating your account at Nonprofit Connect Alternate Contact Name Alternate Contact Email Alternate Contact Phone Billing Address Suite or Unit Number Billing City Billing State Billing ZIP Code What Resources Do You Need? (Select all that apply) Employee/Board Training Event Planning Funding Sources Strategic Planning Recruiting Volunteers/BOD Financial Guidance Other How Did You Hear About Us (Select all that apply) Friend/Colleague Social Media Email Blast Internet Search Other Choose Your Payment Method Pay with PayPal Pay by Check Your Membership will be completed once we receive your check. You will be notified when your check has been received and your membership account has been activated Please make your check payable to “NPC” and mail it to: Nonprofit Connection SCC P.O. Box 1894 Soquel, CA 95073-1894 Processing...