new member application - national association of regional ......national association of regional...
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National Association of Regional Councils 660 North Capitol Street NW, Suite 440
Washington, DC 20001 202.986.1032
www.NARC.org
New Member Application
Organization Contacts
Organization: Date:
Executive Director:
Phone: Email
Deputy Director:
Phone: Email
Transportation Director:
Phone: Email
Organization Address: Street Address City State ZIP Code
Organization Activities Regional Population: Operating Budget: Communities Served: My organization serves as:
Metropolitan Planning Organization Area Agency on Aging
Economic Development District Bi or Multi-State Organization
Additional Programs or Services Offered:
National Association of Regional Councils 660 North Capitol Street NW, Suite
440 Washington, DC 20001 202.986.1032
www.NARC.org
Organization Activities
Our regional priorities include:
Please indicate your policy committee interest areas:
Environment Transportation
Economic and Community
Development
Public Safety
Dues
Dues are calculated by regional population according to the following formula: (Regional population * .005 = dues; maximum $25,000, minimum $1,000)
Enter Regional population: Multiplier: .005
Total Annual Dues:
I would like NARC to invoice me for the amount above:
Additional Notes
Submitting Your Application
202-618-6363
Please sign and return this form to:
Eli Spang Communications & Membership Associate [email protected]
Signature Date