Application for Membership

Please fill out this form to apply for membership.

Name of organization: *

Contact Name: *

Contact E-mail:

Address:

Telephone:

Fax:

Short description of your organization (150 word limit):

Number of Employees:

Type of member: *

Membership fee:

See below for membership fee

Membership fee depends on your membership type, as follows:

Core
- < 10 employees = $350
- 10-20 employees = $750
- 21-50 employees = $1000
- 51-250 employees = 2000
- 251+ employees = $3500
Affiliate: Law, Accounting & Consulting Firms
- < 25 employees = $2000
- 25+ employees = $3500
Institutional: Universities, Other Educational Orgs, Public Entities, Non-Profits = $500