When

Saturday, September 30, 2023 from 9:00 AM to 12:30 PM EDT
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2023 Membership

Thank You for renewing your Membership!

* Required information

Organization Information

* Organization
* Executive Director:
* First Name:
* Last Name:
* Email Address:
* Confirm Email Address:
Phone:

Fee

Type	Fee
Annual Budget $0 to $499,999	$200.00
Annual Budget $500,000 to $999,999	$300.00
Annual Budget $1,000,000 to $1,499,999	$550.00
Annual Budget $1,500,000 to $3,999,999	$750.00
Annual Budget $4,000,000 to $7,999,999	$1,000.00
Annual Budget $8,000,000 to $19,999,999	$1,250.00
Annual Budget $20,000,000 to $29,999,999	$1,900.00
Annual Budget $30,000,000 to $49,999,999	$2,250.00
Annual Budget $50,000,000 +	$2,900.00
Individual Member	$125.00
Retiree & Students	$50.00

Additional Information

* Number of Employees Full Time
* Number of employees Part Time

Items for sale

Item	Qty.	Max Limit	Price
Annual Sponsor		1	$5,000.00 each
Breakfast Sponsor		1	$1,500.00 each
Training Sponsor		1	$1,500.00 each
Supervisory Series Sponsor (1 series)		1	$1,500.00 each
NXTGEN Leadership Series Sponsor		1	$1,500.00 each

Payment

Payment Method

Pay By Check
Please make check payable to:
Human Service Forum
PO Box 366
Holyoke, MA 01041

Payment Summary

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