Prospective Investor/Grantmaking Member Conference Application

**Invited speakers are not required to complete this form and will receive registration information separately.**

Question Title

* 1. Required Information

Attendee's First and Last Name

Foundation Affiliation / Donor Advised Fund Name

Title

Attendee's Email

Attendee's Telephone

How did you hear about the conference?

Approximate grant-making per year?

Current amount of Assets Under Management?

Why are you interested in attending the conference?

Might you consider Confluence membership at a later date?

Thank you for your interest in our 7th Annual Practitioners Gathering in New Orleans. We will try to respond promptly to your attendance request. If you have any questions please feel free to contact angela@confluencephilanthropy.org.

Question Title

* 1. Required Information

Question Title

* 2. Is your organization a member of any of the following membership groups?