COSA Membership Form

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THANK YOU for your your interest in COSA. We invite you to join us for the coming year and be part of a network that supports nonprofit excellence with connections, information, and training.

Your membership adds another vibrant local individual or organization to a diverse group of nonprofits committed to better outcomes for our clients, our communities, and our colleagues. Your participation contributes to greater networking opportunities and stronger partnerships for all.

With gratitude,

The COSA Board of Directors

COSA membership is valid for one year from its inception date.
If you have any questions, please contact COSA at COSAhc@gmail.com. Thank you!

Email *

First name *

Last name *

Organization Name (or Your Name for Individual Membership) *

This is how you or your organization will be listed in the newsletter and on the COSA website.

Website:

COSA will link to this address in the newsletter and on the COSA website.

Membership Category: *

Membership support is based on your organization's TOTAL annual revenue.

Revenue up to $999,999: $100 membership

Revenue of $1,000,000 to $2,999,999: $250 membership

Revenue of $3,000,000 to $6,999,999: $550 membership

Revenue of $7,000,000 and above: $850 membership

Individual or Sole Proprietor Membership (unaffiliated with an agency): $25

Does your organization need an invoice to process this payment? *

COSA will email an invoice at your request.

Yes

Please make checks payable to COSA. Federal ID# 04-3233858.

COSA's mailing address is: PO Box 1004, Northampton, MA 01061.

Your Mailing Address - PO Box or Street: *

Your Mailing Address - City or Town: *

Your Mailing Address - Zip Code: *

Do you give COSA permission to add your email to our mailing list? *

COSA regularly emails a newsletter and occasional announcements. We do not sell or share our mailing list.

Yes

A copy of your responses will be emailed to the address you provided.

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