Online Membership Application

Membership Category		Annual Rate
Voting Members:
(Active Not-for-Profit Housing Developers only)
	For operating budgets under $100,000	$100 p/year
	For operating budgets under $199k	$200 p/year
	For operating budgets $200k to $499,999	$350 p/year
	For operating budgets $500k and above	$500 p/year
*Affiliate Members:*
	With operating budgets up to $100,000	$100 p/year
	For all other Affiliate Members	$500 p/year
General Organization Information
Organization Name:
Address:
City, State:	,
Postal Code:
County:
Phone:
Fax:
E-mail:
Website URL:
Primary Contact Information
Prefix:
First Name:
Middle Name:
Last Name:
Suffix:
Title:
Direct Phone Number:
Email:
Second Contact (optional)
Prefix:
First Name:
Middle Name:
Last Name:
Suffix:
Title:
Direct Phone Number:
Email:
Third Contact (optional)
Prefix:
First Name:
Middle Name:
Last Name:
Suffix:
Title:
Direct Phone Number:
Email:

Please check one of the following: (best description of your organization)
	Community Development Corporation
	Affordable Housing Producer (Non Profit or For Profit)
	Research Insititute
	Government Agency
	Other:
Programmatic Activities:
	Advocacy/Public Policy
	Affordable Housing
	Economic Development
	Youth Enrichment
	Community Organizing
	Public Relations Media
	Workforce Development
	Housing Counseling
	Construction/Construction Management
	Technology
	Other:
Focus Areas:
	Aging
	Development
	Disability
	Economic Development
	Health Care
	Social Services
	Youth Initiatives
	Housing
	Single-family
	Multi-family
	New Construction
	Rehab
	Other:

Services:
	Workshops/Training
	Speakers
	Consulting/Training
	Economic Development
	Housing Services
	Other:
Service Area:

Mission or Description: