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| Full name of organization or individual*
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| Executive Officer (full name and title)
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Address*
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City*
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State*
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Zip*
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Email*
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Phone*
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Fax
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Website
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Number of organization employees
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Geographic location your organization serves.
Check all that apply.*
Berkshire
Franklin
Hampden
Hampshire
All
Other
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Total organization budget from all sources
$ |
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Brief description of your organization as you would like it to appear on our website
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Please check the box next to the type of service that best describes your organization. Check all that apply.*
arts and culture
children and youth services
community food, housing, emergency and relief services
crime and legal related
education
elder services
employment assistance
environmental
health
housing and shelter
individual and family services
mental health
developmental disabilities
multicultural community services
recreation and sports
residential care
social change
women and girls
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HSF dues are based on your organization’s annual budget. Please check the appropriate category:*
$0 to $150,999 (Dues: $110)
$151,000 to $249,999 (Dues: $120)
$250,000 to $499,999 (Dues: $190)
$500,000 to $749,999 (Dues: $235)
$750,000 to $999,999 (Dues: $260)
$1,000,000 to $1,499,999 (Dues: $420)
$1,500,000 to $1,999,999 (Dues: $565)
$2,000,000 to $2,999,999 (Dues: $635)
$3,000,000 to $3,999,999 (Dues: $660)
$4,000,000 to $4,999,999 (Dues: $710)
$5,000,000 to $5,999,999 (Dues: $735)
$6,000,000 to $7,999,999 (Dues: 835)
$8,000,000 to $11,999,999 (Dues: $1000)
$12,000,000 to $19,999,999 (Dues: $1110)
over $20,000,000 (Dues: $1155)
Individual (Dues: $65)
Retirees and Students (Dues: $25)
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