Membership Renewal

Thank you for your continued support of the Public Lands Alliance!

Please follow the instructions below to pledge your membership renewal. Once you submit this form, we will email you an invoice statement with your dues amount owed and to discuss payment options.

Failure to submit a renewal pledge will result in your organization losing access to member benefits. If you have any questions, please contact us at info@publiclandsalliance.org.

Question Title

* 1. Organization Information

Organization

Question Title

* 2. Primary Contact for Renewal

Name

Title

Email Address

Phone Number (ext)

Question Title

* 3. Membership Category

Emerging Public Lands Partner - For an organization that has not yet received its 501(c)(3) status or is in the process of obtaining an agency partnership agreement. Membership Dues = $100

Nonprofit Ally - For a national organization that supports the public lands community but is not affiliated with a particular park, forest, refuge or other public land. Membership Dues = $1,600

Public Lands Partner - For nonprofits that partner with specific parks, forests, refuges or other public land sites.
Membership Dues = See Chart Below

Question Title

* 4. Adjusted Gross Revenue (Line 12 on your most recently filed IRS Form 990, minus any restricted funds not available for operations). For Emerging Public Lands Partner Members and Nonprofit Ally Members, please write N/A.

Question Title

* 5. Total revenue:

Question Title

* 6. Number of employees:

Number of full-time employees:

Number of part-time and seasonal employees:

Question Title

* 7. Number of members and/or donors (if applicable):

Number of Donors:

Number of Members:

Question Title

* 8. Help us build our member data to serve you better and attach your most recently filed IRS Form 990/990Ez (if you haven’t completed the most recent year, please attach the last one filed)

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

Choose File

Please send your dues payment by check, made payable to the "Public Lands Alliance" to:

Public Lands Alliance - Membership
1835 7th St. NW, #242
Washington, DC 20001

Once you submit this form, we will email you an invoice statement, within five business days, with your dues amount owed.