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Membership Application

No single organization, politician or business leader is endowed with all the answers to solving every challenge facing our environment and communities, but together we can move the needle.

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Your Name

First Name*

Last Name*

Your Organization

Organization*

Organization Phone*

Organization Website*

Organization Leader First Name*

Organization Leader Last Name*

Organization Leader Email*

Organization Mission Statement*

Organization Address

Street Address*

Street Address Line 2*

City*

State*

ZIP Code*

Country*

Organization Information

Organization Type*

501(c)(3) nonprofit

501(c)(4) nonprofit

Other nonprofit organized under section 501

Unincorporated community-based organization

Government entity (local, regional, state, tribal)

Private business

Annual Operating Budget*

Number of Members (if appplicable)

Number of Full-Time Employees (Type "0" if the organization is made up of volunteers)*

Issue Area(s) - Select all that apply*

Agriculture

Air Quality

Cities & Hometowns

Climate Change

Energy

Environmental Health

Environmental Justice

Recycling & Composting

Transportation

Water

Contact Person

This person would be designated as a member organization representative and be MEC's point of contact.

Contact First Name*

Contact Last Name*

Contact Email*

Additional Information

Why are you interested in MEC membership?*

Were you referred to apply? If so, by whom?

Would you like to provide any supporting links? If so, paste any website URLs here.

Supporting Documents

Would you like to provide any supporting documents or folders? If so, upload them here.

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 10 MB.