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Kern Alliance of Nonprofits Membership Form
Annual membership begins January 1 through December 31 of every year.
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* Indicates required question
Are you a
New Member
Renewing Member
Clear selection
Organization Legal Name
*
Your answer
Assumed Business Name
*
Your answer
Website
*
Your answer
Address
*
Your answer
City/State/Zip
*
Your answer
Phone
*
Your answer
Federal Tax Identification Number (EIN)
*
Your answer
Number of Staff
*
Your answer
Number of Volunteers
*
Your answer
Geographic Region Served
City of Bakersfield
County
Multi-County
Statewide
National
International
Other:
Chief Executive Officer Name
Your answer
Chief Executive Officer Email
Your answer
Primary Point-of-Contact (if not Executive Director)
Your answer
Primary Contact's Email
Your answer
Primary Service Area
*
Arts, Culture and Humanities
Education
Environment
Animal-related
Health Care
Mental Health and Crisis Intervention
Disease, Disorders, and medical disciplines
Medical Research
Legal Related
Employment
Food, Agriculture, and Nutrition
Housing and Shelter
Public Safety, Disaster Preparedness and Relief
Recreation and Sports
Youth Development
Human Services
International, Foreign Affairs, and National Security
Civil Rights, Social Action, and Advocacy
Community Improvement and Capacity Building
Philanthropy, Voluntarism, Grant-making foundations
Science and Technology
Social Science
Public and Societal Benefit
Religion-related
Mutual and Membership benefit
Government or Quasi-government Entity
Required
Organization Type and Budget
*
Non-Profit Organization; Less than $50,000 ($50.00 Annual Dues)
Non-Profit Organization; $50,001-$100,000 ($100 Annual Dues)
Non-Profit Organization; $100,001-$500,000 ($250 Annual Dues)
Non-Profit Organization; $500,001 - $2,000,000 ($500 Annual Dues)
Non-Profit Organization; More than $2,00,001($1,000 Annual Dues)
For-Profit Entity; Fewer than 50 employees ($500 Annual Dues)
For-Profit Entity; More than 50 employees ($1,000 Annual Dues)
Individual in the process of forming a nonprofit ($100 Annual Dues)
Membership Dues Payment Method
*
I will send a check payable to: The Kern Community Foundation, 5701 Truxtun Ave., Suite 110
Please send an Invoice.
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