Maine Voluntary Organizations Active in Disaster (VOAD) Membership Form 2020

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Complete this form to add or update your Maine VOAD membership

Type of Membership *

Voting Member (Organizations that are members of National VOAD; OR not-for-profit organizations or other organizations qualified under the Internal Revenue Code 501(c)3; OR Maine-based private organization interested in disaster relief and has a written policy of non-discriminatory resource commitment to meet the needs of people affected by disaster; Attends Annual Meeting and Regular Business meetings; Voting rights; Pays suggested annual dues of what organization can afford)

Nonvoting Member (Federal, state, and local government agencies; no voting rights; no annual dues)

Required

Name of Organization *

Physical Address *

Mailing Address *

Phone Number *

Website *

Primary Contact/Representative Name *

Email Address *

Phone Number *

Alternate Contact/Representative Name *

Email Address *

Phone Number *

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