Print Form
2201 P Street, NW
Washington, DC 20037-1033
http://www.nationalhomeless.org
Tel. 202-462-4822
Fax. 202-462-4823
Email. [email protected]
National Coalition for the Homeless Membership Form
Name
Organization
Address
City
State
Home Phone
Work Phone
Zip
Cell Phone
Email
Please choose your membership level:
Currently Homeless
$0
Student/Low-Income Individual
$10
Individual
$50
Organization (annual budget) < $500,000
$100
Organization $500,001 - $1,000,000
$250
Organization > $1,000,000
$500
Corporate
$1,000
Other (please enter amount below)
I want to be a monthly sustainer at $
per month.
Total Amount $
Please make checks payable to National Coalition for the Homeless, or fill
our the below to charge to your credit card:
Visa
MasterCard
Discover
American Express
Card Number
Name on Card
Exp Date
/
CCV Code
Billing Zip Code
Benfefits of Membership
By joining the National Coalition for the
Homeless (NCH), you'll not only be part
of NCH's important work in ending
homelessness, you'll also be connected with
hundreds of other state and local groups,
and you'll receive:
- Our monthly newsletter (distributed
exclusively by e-mail unless otherwise
requested);
- Action alerts on NCH priority issues.
- Organizations will also gain special
access to NCH programs, technical
assistance and partnership in NCH
national campaigns.
NCH envisions a world where everyone has
a safe, decent, affordable and accessible
home. Our mission is to prevent and end
homelessness while ensuring the immediate
needs of those experiencing homelessness
are met and their civil rights protected.
NCH is a 501(c)(3) organization;
contributions are tax deductible to the
fullest extent allowed by law. Tax
ID#52-1517415 Combined Federal
Campaign #10844