Partnership Membership Application

Instructions

Please complete the following questions.

Thanks!

Select An Option

Membership Dues Price of Level Selected (Price Range: $350 - $3500 Annually)

Select Level

Includes access to "In the Know" information, plus visibility and exposure, professional development connections, advocacy, and resources.

Membership Dues (Government/Non-Profit) $250 Annually

Includes access to "In the Know" information, plus visibility and exposure, professional development connections, advocacy, and resources.

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist