Organizational Membership Application

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We encourage you to contact us if your organization is unable to meet member dues obligations. We may be able to offer a reduced rate and will do our best to accommodate your needs.

Incoming members who apply on or after July 1 will be subject to a prorated dues rate equal to 50% of the cost of the dues tier under which they fall.

Le recordamos que se comunique con nosotrxs si no puede cumplir con las obligaciones de cuotas de membresía. Haremos todo lo que este en nuestro alcance para atender sus necesidades.

Miembrxs entrantes que apliquen a partir del 1ro de Julio serán sujetos a una tasa de cuotas prorrateada equivalente al 50% del costo del nivel de cuotas del que pertenecen.

Your feedback helps us strengthen the network. Please let us know what we can do to keep you engaged with DWN for this membership year. | Su retroalimentación nos ayuda a fortalecer la red. Favor de dejarnos saber que podemos hacer para mantener su involucración con DWN este año de membresía.

Include a submember in your membership registration

$150 Dues Rate: Organizational Membership: Annual Budget $0-$100,000

$300 Dues Rate: Organizational Membership: Annual Budget $100,001-$200,000

$500 Dues Rate: Organizational Membership: Annual Budget $200,001-$300,000

$800 Dues Rate: Organizational Membership: Annual Budget $300,001-$700,000

$1,150 Dues Rate: Organizational Membership: Annual Budget $700,001-$1,000,000

$1,750 Dues Rate: Organizational Membership: Annual Budget $1,000,001-$1,500,000

$2,000 Dues Rate: Organizational Membership: Annual Budget $1,500,001-$3,000,000

$2,800 Dues Rate: Organizational Membership: Annual Budget $3,000,001 and up

I would like to automatically renew my membership | Me gustaria renovar mi membresia automaticamente

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Organization | Organización *

Mailing Address | Dirección *

Mailing Address | Dirección 2

City | Ciudad *

State/Province *

Zip Code | Codigo Postal *

Please mark which best describes your organization | Favor de marcar lo que mejor describe a su organización *

Please list the language(s) spoken within your base/members/supporters | Que idioma(s) se hablan entre su base/miembrxs/seguidores *

Website and Social Media Handles | Sito web y paginas de redes sociales

Website | Sito Web

Facebook

Twitter

Instagram

Membership Main Contact | Contacto principal

Main point of contact for membership renewal and member updates. | Contactio primario para renovacion y actualizaciones de membresía

First Name | Nombre *

Last Name | Apellido *

Pronoun(s) | Pronombre(s):

Email | Correo electrónico *

Job Title | Titulo *

Phone 1

Preferred Language | Idioma Principal

English | inglés

Spanish | español

Other | otro

If other, please list | Si otro, favor de compartir:

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How did you hear about DWN? | ¿Cómo se enteró de DWN? *

Why do you want to become a DWN member? | ¿Por qué le(s) gustaría ser parte de la membresía de DWN? *

What immigrant detention center(s) are in your area or are community members from your area detained at? | Que centro(s) de detención están en su area o dónde detienen a miembrxs de su comunidad?

Can DWN support you on a specific project? | ¿Hay algún proyecto especifico en cual DWN pueda apoyar? *

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Include a submember

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Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership | Me gustaria renovar mi membresia automaticamente

First Name *

Last Name *

Pronoun(s) | Pronombre(s):

Job Title

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Add {{subMemberDisplayName}}

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{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}

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Discount Code

Code:

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Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

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Card

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card Number *

Expiration (MM/YY) *

CVV *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip

Country

Amount:

{{formatAmount(totalAmount)}} USD

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Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

	Contact Name	Membership Level
	{{item.contactName}}	{{item.membershipLevel==null?'-':item.membershipLevel}} {{item.startDate}} - {{item.endDate}}
No contacts.