Serving Nonprofits. Strengthening West Virginia.

Academic Institution Member Application

Academic Institution *

Academic Institution - $ 500.00: There is a $13 fee to process your credit card payment. You can always choose to pay by check if you do not want to pay the additional fee.

Donation

Contribution to the Scholarship Fund for nonprofits who cannot afford membership dues.

Total Amount

Email Address *

Academic Organization Registration

Confirm Email *

Name of Institution *

Contact Name *

Your name or the name of the primary contact person at your organization.

Contact Title *

How did you hear about the WVNPA?

Phone Number *

Street Address *

Street Address 1

Country *

City *

State *

Zip Code *

County *

Website

Primary Geographic Region/Counties Served

Nonprofit Management Programming offered by your Academic Institution

Contact Consent:

I hereby consent to receive email messages sent on behalf of West Virginia Nonprofit Association (WVNPA).

Hold Harmless Clause *

The WVNPA and General Member shall mutually hold each other harmless from and against claims, damages, losses and expenses, including but not limited to attorney’s fees, arising out of or resulting from performance of services regardless of whether or not such claim, damage, loss or expense is caused in part by a party indemnified hereunder.

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

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WVNPA E-Newsletters	Word of Mouth	WVNPA Postcard
From wvnpa.org	Email from another nonprofit	From a WVNPA presentation

Serving Nonprofits. Strengthening West Virginia.

Academic Institution Member Application

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WVNPA

Serving Nonprofits. Strengthening West Virginia.

Academic Institution Member Application

Subscribe

In partnership with

WVNPA

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