Sierra Nevada Alliance 2017 Member Group Application In addition to completing this application, please remember to also submit your Member Group fee. Question Title * 1. Name of Organization: Question Title * 2. Organization's Mailing Address: Question Title * 3. Organization's Physical Address: Question Title * 4. City: Question Title * 5. State: Question Title * 6. Zip Code: Question Title * 7. County: Question Title * 8. Organization's Website: Question Title * 9. Primary Contact's Name: Question Title * 10. Contact's Email Address: Question Title * 11. Contact's Phone Number: Question Title * 12. Additional Contacts: (optional) Question Title * 13. Is your organization a 501(c)(3)? Yes No Question Title * 14. What is your organization's federal tax ID? Question Title * 15. What is your organization's date of formation? Next