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FANO Membership

JOIN FANO now and receive discounted Registration
First Name:
Last Name:
Address:
City:
State: (ignore for non-US transactions)
Zip Code:
Country:
Email Address:
Confirm Email Address:
Preferred Phone:
Title (optional):
Organization (optional):
Credit Card Billing Address
 
 If the address where you receive the credit card bill is different than above, please enter it here.
Address:
City:
State:
Zip Code:
 

I would like to become a FANO member and receive registration discounts and other benefits. Enter the organization/company name
If the address is different from the address listed above please enter the nonprofit/company address.
Annual Budget is:
Number of Employees (FTE)
Does you organization have members? If so how many? If not enter n/a.
Are there others in your organization that would like to receive email notifications, newsletters, and other nonprofit specific items? If so list their names and email addresses. (Limited to 10 per organization)
Associate Members only: What are your marketing goals for 2012?
Associate members only: Do you currently serve nonprofit organizations? If so, how many? If not enter n/a.
Date of Incorporation - When is your organization's birthday?
SCHOLARSHIP (limited scholarships are availble upon request) Letter requesting scholarship should be written on company letterhead and must include the reason why scholarship is needed and how your organizaiton will benefit from the scholarship. All letters must be signed and dated to be considered. Email all requests to marina.fano@gmail.com.
Please choose one of the membership categories below
Charge Amount:
$100.00 - BUDGET UNDER $200,000
$250.00 - BUDGET OVER $200,000 under $500,000
$500.00 - BUDGET OVER 500,000 & UNDER 1 MILLION
$600.00 - BUDGET OVER 1 MILLION & UNDER 2 MILLION
$800.00 - BUDGET OVER 2 MILLION & UNDER 4 MILLION
$1,000.00 - BUDGET OVER 4 MILLION
$25.00 - Associate Membership STUDENT
$100.00 - Associate Membership CONSULTANT
$250.00 - Associate Membership SMALL BUSINESS/GOVERNMENT
$500.00 - Associate Membership CORPORATE
$1,000.00 - Associate Membership SPONSOR
$2,500.00 - Associate Membership UNDERWRITER
$5,000.00 - Associate Membership BENEFACTOR
$10,000.00 - Associate Membership ANGEL
  Other Amount --> $
  You can choose any amount you'd like by checking the box for the amount you'd like to give, or by checking the Other option and entering a custom amount in the blank field.
Make this a Recurring Transaction?  
By default your card will only be charged today, with no recurrence set up. However, you can use the fields below to specify a recurring payment on the schedule of your choosing. Change the recurrence to specify how often your transaction will be processed. Specify an end date to stop transactions after a certain point in time (if you are unsure, use the expiration of your credit card).
Recurrence:
End Date: (required) mm/dd/yyyy
Pay by Credit Card  
Card Type:
Credit Card Number:
Credit Card Expiration (mm/yy): /
Name On Card:
C V V Value:
 
Thank your for your membership in FANO (Florida Association of Nonprofit Organizations)