Are you the Executive Director (or in a similar role) with a nonprofit organization?*

Does your nonprofit organization have at least two full-time employees (ED +1), an annual budget of at least $150,000 and a board of directors? *

Is your nonprofit commercial-based, that is, not home-based? *

Have you read and do you agree to the member commitments? *

Your Name*

Your Email*

Cell Phone:

Home Phone:

Non-Profit Name & Address:

Non-Profit Mission:

Your Non-Profit Website:

Year Non-Profit Founded:

Number of Employees:

Annual budget:

Your Job Title:

Job Duties:

Months at Job:

Years in the Non-Profit Sector:

Who Told You About Us: