Membership Application

Individual Member or Organization Contact Information

* Contact First Name

* Contact Last Name

Contact Title

* Organization

Joining as Organization (provide full name and email address for each person being registered)

Address Line 1

Address Line 2

* City

* State

* Zip

* Telephone

Fax

* E-mail

Web Address

* Type of Service

Membership Term

Membership Term: The current membership ends 12/31/2021.

* Participate in surveys designed to measure the impact of WNYPGC;

Participate in surveys designed to measure the impact of WNYPGC;

Financial Support

You may support through an annual membership fee. This year’s membership will run through December 31, 2021. You will be able to select a level of support on the following screen.

Levels of support:
$200 for Individuals
$525 for Organizations with 3+ members wishing to join

Members Log In
WESTERN NEW YORK PLANNED GIVING CONSORTIUM ID:

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