First Name:

Last Name:

Title:

Organization:

Mail address:

City:

State:

Zip:

Telephone:

Fax:

Email:

Are you a:
Not-for-Profit 501(c)3?
Government Organization?
Funder interested in technology issues?
Other?

I am interested in:
Joining the Listserv
Attending meetings
Hosting a meeting
Mentoring other Not-for-Profits
Attending training/workshops on technology issues

Comments: