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Grantmakers of Western PA 2026 Membership Dues Form
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1.
Organization Name
(Required.)
2.
Name of Person Submitting Form
3.
Email Address
4.
Estimated Assets as of December 31, 2025
5.
Average Payout
2024, 2025 and projected 2026 payout
GWP dues are based on a three year average of your giving. Add the totals for each year and divide by three to get your average payout.
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6.
Dues Region
(Required.)
Location in Allegheny County
Location in Collar County Region
Location Outside Ten-County Region
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7.
County
(Required.)
*
8.
Calculated Dues
Funders in Allegheny County and Ten-Collar County Region pay total calculated amount.
Funders located outside of Ten-County Collar Region pay for a basic membership
(Required.)
9.
Optional Leadership Gift
10.
Final Dues Amount
*
11.
Payment Information
(Required.)
Please send invoice
Will pay via e-payment (highly encouraged)
Will send check
Other (please specify)
12.
Additional Comments
Use this field for any additional comments regarding your online membership submission form.
