Institute for Nonprofit
Leadership and Management

Contact:
David Kohn
845-341-4890 (phone)
845-341-4921 (fax)
david.kohn@sunyorange.edu


Institute Membership & Registration Form

Membership Levels and Benefits
Individual Patron					$50* _______
o	Acknowledged at Annual Conference
o	Discounts on Certificate Program courses
o	Discounts on registration fee to the Institute’s Annual Conference

Member Organization				$250* ______
o	Same benefits as an Individual Patron
o	Name listed in brochures and flyers
o	Listing and logo on Institute’s website

Partner Organization				$500* ______
o	Same benefits as member organization
o	Brochures/information at Conference Exhibitor table
o	Two complimentary certificate program courses 	
o	Two complimentary registrations to the Institute’s
Annual Conference

*Yearly membership fees

Membership Registration
Organization:__________________________________________________

Name:________________________________________________________

Title:_________________________________________________________

Address:	______________________________________________________

City/State/Zip:_________________________________________________

Phone:___________________________ Fax:	________________________

Email:________________________________________________________


Payment Information & Logo Requirements
Payment Information
Please return form and remit check made payable to SUNY Orange

SUNY Orange
Institute for Nonprofit Leadership and Management
115 South Street
Middletown, New York 10940

Logo Requirements
Please e-mail your logo in jpg or tif format, 300 dpi, or a hard copy (not too small in size) to:	david.kohn@sunyorange.edu

"Joining the Institute is a wise investment. Participating in the many programs and course offerings will greatly benefit you and your organization by improving the quality resource capacity and overall effectiveness of the organization."
- John C. Checklick,
President and CPO, Orange County United Way