Membership

AS AN ORGANISATION

AS AN INDIVIDUAL

MEMBERSHIP APPLICATION FORM
Application Details

Individual Details

Name

Email Address

Organisation Type

Name of Organisation

Ein / 501(c)/(3)

Principal Activity

City

State

Zip Code

Website

Nominated Contact Person

Position

Contact Person's Email

Phone

Mobile

Application 1. Reasons for wanting to join Wkusa/Our organisation's background toward kindenes

2. Current & Future Kindeness Activities

3. How to plan to achieve the above

4. How being a Member of WKUSA will help us achieve our Organisational Goals

Reference Details Name of Organisation

Orgainsation Type

Address

City

State

Zip Code

Website

Contact Person's Email

Position

Email

Phone