Fair Budget Coalition Organizational Membership Form 2019-2020
This is the application for organizational members. If you are signing up for an individual, please use the "Individual Membership" link on our website at www.fairbudget.org/membership

Please make checks payable to our fiscal sponsor:
Social Good Fund, with “FBC Membership Dues” in the memo line.

Payments accepted online but include a 4% processing fee.*
bit.ly/FBCMembership2020
Email address *
Organization Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Advocacy Contact Name *
Your answer
Advocacy Contact Email *
Your answer
Add to listserv?
Membership Dues Contact Name *
Your answer
Membership Dues Contact Email *
Your answer
Add to listserv?
Communications Contact Name *
Your answer
Communications Contact Email *
Your answer
Add to listserv?
Please list other organizational contacts you'd like to have added to our listserv: names and email addresses
Your answer
Issue Groups You'd Like to Be Involved With: *
Required
Organizational Member Dues
Please check *
Required
Date Submitted *
MM
/
DD
/
YYYY
Submitting Payment
Please make checks payable to our fiscal sponsor,

Social Good Fund,
with “FBC Membership Dues” in the memo line.

All checks can be mailed to:
Fair Budget Coalition
1419 V St NW
Washington, DC 20009
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of DC Fair Budget Coalition.