Membership Application

CCC Membership Application

I have reviewed CCC's Membership Policy and Bylaws.

First name

Last name

Membership Type

General Member

Public Entity Partner

Organizational Affiliation

Organization Website Address

Why are you/your organization interested in participating in the Cumberland Conservation Collaborative?

How did you learn about the Cumberland Conservation Collaborative? Have you previously worked in collaboration with any current members?

I will attend most or all of the general member meetings or attempt to find a replacement representative.

Alternate Organizational Representative

Alternate Email Contact

Are you interested in serving in a leadership position on the board or a committee after a sufficient time as a general member?

Yes

Are you able to make a voluntary annual membership donation on a sliding scale of $1-$100? These fees cover costs associated with venue rentals, food/beverage provisions, or event materials.

Yes

I am a Public Entity Partner and exempt from membership donations.

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