Join NHBSR

NHBSR Membership Application

Download an application in PDF format.

Download an application in Word format.


*Company Name:
*Primary NHBSR Contact:
*Title:
*Address:
*City:
*State:
*Zip:	-
*Telephone:	()- x
Fax:	()-
*Email Address:
Company Website URL:
*Number of Employees:
Name:
Title:
Telephone:	()- x
Fax:	()-
Email Address:

What business sector(s) best describe your company? (Please check all that apply.)

Please Specify Other:

Please describe (in 25-50 words) your company's products or services for the NHBSR Membership Directory:

RESRPONSIBLE POLICIES AND PRACTICES
If your company has expertise to share, and/or a special interest in learning more about particular areas of responsible policies and practices, please check the appropriate item in each column:
	We have expertise to share*	Areas of special interests
Community involvement
Corporate best practices (in general)
Environmental stewardship
Ethics
Social responsibility audits/self assessments
Workplace policies and practices
Other(s):

* Please send any policy statements or informational materials about your company's initiatives that we might share with others or use to promote your company (with prior written permission).


MEMBERSHIP DUES
NHBSR dues are based on your company's annual revenues. Please review the categories below.

	Annual Revenue	Annual Dues⁺
	Less than $500,000	$150
	More than $500,000	$350
	Gold Level Member*	$1000
	Sustaining less than $500,000	$1500
	Sustaining more than $500,000	$2500
	Associate Members (non-voting)
	Individual in unaffiliated companies	$150
	Non-profit with a NHBSR related mission	$150
	Government Agency	$150
	Student	$30
⁺ In support of the missions of BSR, VBSR, MEBSR, and RBA-Boston, NHBSR offerms members of such "sister" organizations an optional %15 discount on NHBSR dues. To apply for one of these discounted memberships, please contact us.
* Gold Level includes annual dues ($350) plus listing as conference sponsor, newsletter sponsor and free unlimited attendance at all non-fundraising programs. Other levels receive member discount on all non-fundraising events.



Required fields are marked by a red *