Enroll/Renew

Member Enrollment Form

FORM NOTES HIDDEN SECTION FOR ADMIN USE ONLY

1. There are two budget range fields because 501c3 amount is based on budget, but Grantmaker is not.

At Nonprofit New York, our mission is to strengthen and unite New York’s nonprofits—relentlessly building a healthy, unified, and powerful nonprofit community. We believe that healthy nonprofits are better equipped to fulfill their mission. And healthy nonprofits united in solidarity are an unstoppable force

for good.

Join us.

Please select:

Renewing my membership
Joining for the first time

Type of Membership:

Please specify organization’s budget range:

Please attach your 501(c)3 Letter of Incorporation:

Please attach a picture of your student ID:

Business membership level

Professional
Corporate
Sustaining

Professional = max 5 employees;
Corporate = max 25 employees;
Sustaining = 26+ employees

Philanthropic membership level

Grantmaker
Sustaining

How did you hear about Nonprofit New York?

If Other, please describe:

In which areas can Nonprofit New York offer organizational support? (Select all that apply)

Access to a community of nonprofit professionals
Cost savings programs
Educational and training opportunities
Access to knowledge resources and materials
Policy and advocacy work
Other

In which areas can Nonprofit New York continue to offer organizational support? (Select all that apply)

Access to a community of nonprofit professionals
Cost savings programs
Educational and training opportunities
Access to knowledge resources and materials
Policy and advocacy work
Other

If Other, please describe:

On a scale of not well to very well, how well have Nonprofit New York's programs and services met your organization's needs?

Organization Information

Organization Name

Organization EIN

Subsector

Street

City

State

Postal Code

Full-time Employees	Part-time Employees Volunteers
Website	Facebook
Instagram	Twitter
Linkedin

NTEE Category

NTEE Code

Primary Contact Information

First Name

Last Name

Job Title

Role

Phone

Different address than organization?

Yes
No

Street

City

State

Postal Code

Billing Contact Information

First Name

Last Name

Job Title

Role

Phone

Different address than organization?

Yes
No

Street

City

State

Postal Code

Human Resource Contact Information

First Name

Last Name

Job Title

Role

Phone

Different address than organization?

Yes
No

Street

City

State

Postal Code

Board Contact Information

First Name

Last Name

Job Title

Role

Phone

Different address than organization?

Yes
No

Street

City

State

Postal Code

Program Contact Information

First Name

Last Name

Job Title

Role

Phone

Different address than organization?

Yes
No

Street

City

State

Postal Code

Additional Contacts

If you would like other individuals from your organization to receive information from us, please include their information below.

First Name

Last Name

Job Title

Role

Phone

Different address than organization?

Yes
No

Street

City

State

Postal Code

Total amount to be charged: $

Payment Method

Credit Card

Credit Card Information

First Name	Last Name
Billing Street	Billing City
Billing State	Billing Postal Code
Credit Card Number	CVV
Expiration Month	Expiration Year

Hidden Fields

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Contact Information