Annual Dues & Donation Form for 2021

Here is our/my member or affiliate application and/or conference sponsorship and/or donation commitment:

Name of Individual or Organization *

Category of Membership (choose one) *

Voting Member (Individual or Organization) - One year - $ 50.00
Voting Member (Individual or Organization) - Three years - $ 125.00
UPGRADE from Non-voting Affiliate to Voting Member (Individual or Organization) - One year - $ 25.00
UPGRADE from Non-voting Affiliate to Voting Member (Individual or Organization) - Three years - $ 65.00
Non-voting Affiliate (Individual or Organization) - One year - $ 25.00
Non-voting Affiliate (Individual or Organization) - Three years - $ 65.00

Also add us as a 2021 Zoom Conference Sponsor

Sponsorship - $ 99.00

Additional General Donation Amount

Total

$ 0.00

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Primary Phone *

Primary Phone type *

Land line
Mobile

Secondary Phone

Secondary Phone type

Land line
Mobile

I/We agree to the purposes of the Council and agree to abide by its bylaws:

Article II - Purpose Section 1. The purposes of the Council shall be to foster cooperation and communication among organizations working for the philosophy and reforms advocated by Henry George; to sponsor an Annual Conference; to issue and distribute suitable literature; and to engage in such other activities as shall be deemed fitting for these purposes.

Status *

Agree as a voting member
Agree as a non-voting affiliate

Name of Authorizing Individual *

First

Last

Title (if applicable)

Checkbox Items

First Item
Second Item
Third Item

Single Item

Price: $ 0.00

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