Membership Renewal

Organization Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Website

In which field(s) does your organization work?

Housing
Economic Development

In which local region(s) does your organization primarily work or do business?*

What population(s) would you consider your target demographic?

Contact Information

Senior Executive Contact Information*

First Last

Title*

Email Address of Senior Executive Contact*

Key/Main Point of Contact Information*

First Last

Title*

Email Address of Key/Main Point of Contact*

Dues Information

We encourage those with available resources to consider joining as Corporate Partners. Corporate Partner memberships help to sustain the work that we do.

Annual Dues Account*

$100 (budget/ revenue < $250,000)
$250 (budget/ revenue < $250,000 - $500,000)
$400 (budget/ revenue < $500,001 - $1,000,000)
$500 (budget/ revenue > $1,000,000)
$2,500 (Corporate Partner Membership)
$5,000 or above (waived membership)

What benefit do you hope to receive as a CNHED member?*

Do you want to pay by credit card or invoice?*

I will pay by credit card now
Please invoice me

Payment

Annual Dues*

Total

$0.00

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Organizational Membership Renewal

Contact Information

Dues Information

Payment