PGGNE 2010 - 2011 Membership Application

Looking to renew?
Save time by looking up your membership information here or by logging in now.

Member Number:
 OR First Name:
Last Name:
Please complete all of the information below. * indicates a required field

First Name*
Last Name*
Title*
Company*
Address*
Address 2
City*
State/Province*
Zip/Postal Code*
Telephone*()
Fax*()
Email Address*
Username*
Password* (Passwords must be at least 6 characters long)
 
Membership Type*
Test Drive Membership $200 (New Member Special! Includes Sept thru Dec luncheon fees.)
Non-Profit Member $340 (includes all luncheons)
Non-Profit Associate $145 (luncheons NOT included)
Allied Profession Member $390 (includes all luncheons)
Allied Profession Associate $175 (luncheons NOT included)

My institution category is (select one)*
Education Medical
Private Sector Other: Arts, Environmental, Religious, Social Services
 
My institution is paying for this membership

PGGNE Volunteer Opportunities
Membership: Help to staff welcome desk at monthly programs, contact potential and/or lapsed members, welcome new members
Programming: Suggest speakers, assist with set-up at monthly programs, and distribute handouts
Social Networking: Help establish/maintain Facebook/LinkedIn accounts

Mentoring Program
Would you like to serve as a mentor for a member of PGGNE in 2010 - 2011? Yes No
Would you like to be assigned a mentor from PGGNE in 2010 - 2011? Yes No
Deadline for mentoring matches is September 24, 2010.    

General Questions and Comments
Are you a member of another planned giving council? Yes No
Are you a member of PPP? Yes No
Have you ever served on the board of another professional organization? Yes No
If so, which one(s)?

What topics would you like to see covered in the PGGNE newsletter?

 
 
Do you have recommendations for speakers or topics for PGGNE’s monthly meetings?
 
Please share any thoughts you have about PGGNE, including suggestions for programming topics and speakers, membership services, communications, the future of the organization, etc.
On-Line Signature and Form Submission
By placing a check in this box, I am signing that I fulfill the requirements of membership in one of the above categories as defined by PGGNE by-laws and described on this website.*

Please note: When you hit 'SUBMIT', you will be directed to our secure payment form. When you have completed the form, you will be directed to a confirmation page which will provide you a receipt of your membership application.