Member Registration Form Application for non profit organization to become a member of Be There Local "*" indicates required fields Δ NameThis field is for validation purposes and should be left unchanged.Name of Organization*Check to become a Non-Profit Member* Member Address* Street Address Address Line 2 Location* City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Address State ZIP Code This will be used to determine which local Calendar to display your events.Website Email* Enter Email Confirm Email You will be notified of approval and given your account number to this email address. You will then be able to access your account, request listing of events, and to make changes to your info.Name of Contact Person* First Last Contact Person's Position*Volunteers / Additional ContactsNamePhone Number Add RemoveOptional: list anyone else (staff, volunteers, board members) who helps manage this account, so we know who to contact.Contact Person's Phone*Type of Organization*Category, such as arts, mental health, housing, education etc.IRS exemption code?*Director's Name* First Last Organization's Main Phone Number*Brief Description of Organization*Keep this to one paragraph, and list your website here to link for more information.Do you have ongoing programs you wish to highlight?* Yes No Unique ID
