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Join the Alliance!

Use the online form below to sign up for or renew your membership.

If you are a new member, please carefully review our Membership Information Packet for a complete description of membership benefits and pricing (you will need the free Acrobat Reader software to view this file).

Please fill in the following information completely. Use the "Tab" key to move through the form; pressing "Enter" will submit your form. Please note that your membership will not be confirmed until payment is received.

Agency Information
Name of Organization/Individual: 
Address:  City, State:  ZIP: 
Main Phone:  Main FAX: 
Web Page: 
Number of employees:  Number of board members: 
Annual operating budget: 
Individuals to Receive Membership Benefits
Please fill out the following as completely as possible so that your organization may take full advantage of your member benefits including Open Doors and other messages pertinent to individual positions. Individual memberships only include benefits for one person.
Primary Contact: 
Position: 
Phone:  Fax: 
Email: 
Executive Director, if different from above: 
Phone:  Email: 
Billing Contact: 
Position: 
Phone:  Email: 
CFO/Finance Contact: 
Position: 
Phone:  Email: 
Administrative Assistant: 
Phone:  Email: 
Development Contact: 
Position: 
Phone:  Email: 
Communications Contact: 
Position: 
Phone:  Email: 
If you would like to include additional full-time staff and board members on our mailing list, please email their names, positions, and email addresses to membership@npexcellence.org.
Organization Type
Please check the box that best describes you or your organization:
Arts/Cultural Institution Church Religious Ministry
Educational Institution Health Care Provider/
      Advocate 		Community Development
      Agency
Human Services Provider Local/State Government Individual
Consultant
Are you a: United Way Agency? member of ArtsMemphis?
Membership Fees
Please check the appropriate boxes:
We are a local government representing: Our nonprofit organization’s annual revenue is:
fewer than 100,000 people, and our fee is $750. less than $100,000, and our fee is $100.
more than 100,000 people and our fee is $2500. between $100,000 and $500,000, and our fee is $200.
We are a large nonprofit institution, and our fee is $750. between $500,000 and $2,000,000, and our fee is $300.
I am an individual who is not employed by a nonprofit, and my fee is $150. between $2,000,000 and $5,000,000, and our fee is $400.
  between $5,000,000 and $10,000,000, and our fee is $500.
  over $10,000,000 and our fee is $750.
New members must provide a copy of your 501(c)(3) determination letter.
      I will mail, fax, or bring our 501(c)(3) letter to the Alliance office.
OR I will attach a copy of our 501(c)(3) letter to an email. 		ALL members must provide a copy of the first page of your most recent IRS Form 990 or 990EZ. If you do not file a 990 return, you may submit a copy of your annual operating budget.
      I will mail, fax, or bring our 990/budget to the Alliance office.
OR I will attach a copy of our 990/budget to an email.
OR the direct link to our 990 on Guidestar is: 
I will mail my/our check to the Alliance office.
I will pay in person with cash, check, Visa, or MasterCard at the Alliance office.
I will pay online now with PayPal (you will receive instructions after you submit this form).
 

5100 Poplar Ave., Suite 502 , Memphis, TN 38137 • Phone 901.684.6605 • Fax 901.684.6616 • info@npexcellence.org