Funding Information Center

2008 Membership Application

Remember! Please complete this application out and make sure this application
is accompanied by your check for membership or payment online!

 Date:   (mm/dd/yy)

 

Yes, we would like to become a member of FIC at the level of:

     Nonprofit organizations with annual budgets above $250,000    ($300/year)

      Nonprofit organizations with annual budgets below $250,000    ($100/year)

      Individuals, Students, Consultants                                              ($100/year)

    

Membership Information:

Organization Name:  Web Site: 2008 Operating Budget:
Address:  City: State:  Zip Code:     
Phone:  Fax:  Number of Employees:   United Way Agency?
Executive Director:  E-mail:  

Contact Person:

 

1.  Name:       Title:     E-mail:

 

PLEASE LIST ADDITIONAL CARD HOLDERS BELOW:

 

2.  Name:       Title:     E-mail:

3.  Name:       Title:     E-mail:

4.  Name:       Title:     E-mail:

5.  Name:       Title:     E-mail:

6.  Name:       Title:     E-mail:

 

HR contact for Job Positions:      Title:     E-mail: 

 

Board of Directors Contact:      Title:     E-mail:

 

Please check your agency category: 

 

Funding Information Center ∙ 329 S. Henderson, Fort Worth, TX 76104

∙ (817)334-0228 ∙ fax (817) 334-0167 ∙ www.fic-ftw.org

Remember! Please complete this application out and make sure this application
 is accompanied by your check for membership or payment online!

Have questions? Need help filling out this application? Email Linda McMillan or call us 817-334-0228