2019-20 NACCDO Membership Invoice & Form
Date: June 4, 2019
Invoice Amount: See dues table below
Purpose: July 1, 2019 - June 30, 2020 NACCDO Institutional Dues

INSTRUCTIONS:
1. Complete the membership form below and click “submit”. We want to include your development staff in all NACCDO communications and invitations!  Please provide their names, position titles and contact information.

2. Refer to the dues chart below for your dues amount.

3. Send payment via PayPal (preferred) or check. If paying via PayPal, please refer to the link in your renewal email or contact info@naccdo.org.

4. If paying by check, remit to:

Cindy Eller - NACCDO Treasurer
c/o Roswell Park Comprehensive Cancer Center
Elm & Carlton Streets
Buffalo, NY 14263

IF YOU NEED A HARD COPY OF YOUR COMPLETED FORM, PRINT BEFORE YOU CLICK SUBMIT.
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Payment form: *
Dues amount based on amount raised for cancer: *
Contact Information
Institution Name (as you wish it to appear on the website and other communication) *
Address 1 *
Address 2
City *
State *
Zip Code *
Primary Contact for your Institution *
Primary Contact's Title
Primary Contact's Email *
Primary Contact's Phone *
Membership/Admin Contact (if different than Primary Contact)
Membership/Admin Contact's Email
Membership/Admin Contact's Phone
Chief Development Officer for Cancer (to be included on the CDO affinity group & CDO Retreat Invitation) *
CDO's Email *
The CDO would like to receive all NACCDO Communications *
Benchmarking Contact's Name *
Benchmarking Contact's Email *
Benchmarking Contact's Phone *
Cancer Center Type *
*If NCI Supported, please list at least one NCI awardee and award time period
NACCDO membership is by institution.  All development professionals on your staff are encouraged to take advantage of our many member benefits.  
We want to include your development staff in all NACCDO communications and invitations! Please list of your institution's development contacts (name, title and email) for the NACCDO communication list. There is no limit to how many names you can give us. Contacts will also have access to all member benefits, including Affinity Groups and the members-only section of the NACCDO website. If you would like to add more names, please email us at info@naccdo.org
First Name
Last Name
Title
Email
First Name
Last Name
Title
Email
First Name
Last Name
Title
Email
First Name
Last Name
Title
Email
Important
If you need a hard copy of your completed membership form, please print it BEFORE you click Submit.
Questions?
Please direct any questions regarding NACCDO membership to Keeman Wong at kmwong@ucdavis.edu. If you have any questions regarding your institution’s payment, please contact Cindy Eller at cindy.eller@roswellpark.org. Thank you!
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