Membership Renewal Survey

Required Questions

1.Organization Information(Required.)

Organization

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

Name

Title

Email Address

Phone Number (ext)

3.Membership Category(Required.)

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

Public Lands Partner Dues Chart

Adjusted Gross Revenue is calculated by subtracting restricted funds not available for operations (grants and restricted donations) from total gross revenue.

Community Ally Dues Chart

Adjusted Gross Revenue is calculated by subtracting restricted funds not available for operations (grants and restricted donations) from total gross revenue.

4.Adjusted Gross Revenue.
This is the number used to calculate membership dues.
(Total gross revenue - usually line 12 on your 990 - minus any restricted funds not available for operations).
For Emerging Public Lands Partner please write N/A.
(Required.)

5.Total Gross Revenue
Usually line 12 on your 990(Required.)

Optional Questions
That would mean a lot if you answered them =)

6.What value have you seen in your PLA membership this past year?
AKA Why is your organization renewing?

7.Can PLA use your positive comments in marketing materials?

Yes, you can share my name and organization

Yes, you can share my comments anonymously

Please contact me before sharing my comments

8.When thinking about your member benefits, is there additional support you would like to see from PLA?

9.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)

No file chosen

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