Membership Renewal

Thank you for your continued support of the Public Lands Alliance!

Please follow the instructions below to pledge your membership renewal. Once you submit this form, we will email you an invoice statement with your dues amount owed and to discuss payment options.

Failure to submit a renewal pledge will result in your organization losing access to member benefits. If you have any questions, please contact us at info@publiclandsalliance.org.

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* 1. Organization Information

Organization

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* 2. Primary Contact for Renewal (PLA will follow up with this person for renewal)

Name

Title

Email Address

Phone Number (ext)

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* 3. Membership Category

Public Lands Partner - For nonprofits that partner with specific parks, forests, refuges or other public land sites. Membership Dues = See Chart Below

Emerging Public Lands Partner - For an organization that has not yet received its 501(c)(3) status or is in the process of obtaining an agency partnership agreement. Membership Dues = $100

Community Ally - For a national organization that supports the public lands community but is not affiliated with a particular park, forest, refuge or other public land. Membership Dues = See Chart Below

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Public Lands Partner

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Community Ally

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* 4. Adjusted Gross Revenue (Line 12 on your most recently filed IRS Form 990, minus any restricted funds not available for operations). For Emerging Public Lands Partner please write N/A.

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* 5. Total revenue:

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* 6. Help us build our member data to serve you better and attach your most recently filed IRS Form 990/990Ez (if you haven’t completed the most recent year, please attach the last one filed)

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Once you submit this form, we will email you an invoice statement, within five business days, with your dues amount owed and a request to update your roster.