Membership Application

Membership in the PRI Makers Network is available to eligible organizations that agree to uphold a Code of Conduct. To apply for membership, please complete and submit the application below. You will receive an emailed confirmation after you submit the form, and our Membership Coordinator will follow up with you about the status of your application and your $250 introductory dues payment. Your application will be reviewed by our Membership Committee; once your membership is approved, we will email you your username and password for full member access to our website. If you have questions, please contact us.

Primary Contact

Information about the primary contact for the member organization.

Name: *

Title: *

Phone: *

Email: *

Second Individual

Second individual in the member organization.

Name (2):

Title (2):

Phone (2):

Email (2):

Third Individual

Third individual in the member organization.

Name (3):

Title (3):

Phone (3):

Email (3):

Fourth Individual

Fourth individual in the member organization.

Name (4):

Title (4):

Phone (4):

Email (4):

Fifth Individual

Fifth individual in the member organization.

Name (5):

Title (5):

Phone (5):

Email (5):

Additional Individuals

If you would like to add additional contacts, please submit those names with title, phone number and email address under the "comments" section below.

Organization's Information

Information about the member organization.

Organization: *

Organization Type: *

Address: *

City: *

State: *

Zip Code:

Country: *

EIN:

Organization's Web Site:

Organization's PRI/MRI Webpage:

Please answer these questions

(note: you do not have to be a current PRI funder in order to join the network.)

Program Description:

Describe the nature of your current or prospective PRI program.

Scope Geography:

Geographical scope of organization's PRIs

Total Assets:

Total assets of organization

Average Annual PRI Investing:

Average annual PRI investing of organization

Number and Dollar Amount of Active PRI Transactions:

Please enter this information if you have active PRIs; example: "2 PRIs totaling $1 million."

Making PRIs Since:

Please enter they year you began making PRIs, if applicable.

Other Program Priority Areas:

If you select "Other" above, please type in your priority areas.

How Did You Get Connected with PRI Makers Network?:

Comments:

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