September 5, 2010   <<  Back to Grantmaker Membership Email This      Printable Version   Grantmaker Membership Renewal Application   * Denotes Required Field Today's Date: * Primary Contact Name: Title: Email: * Name of Organization (as listed on MPC Membership Page): Address: * Street Address * City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming      * Zipcode * Phone: Fax: Website: Additional names & e-mails for program announcements: Grantmaker Type: Community Corporate Donor Advisor Family Independent Public Membership Fees: $300 (Up to $50,000) $600 ($50,000 to $100,000) $1,200 ($100,000 to $500,000) $1,800 ($500,000 to $1,000,000) $3,000 ($1,000,000 and up) Please send a check to The Maine Philanthropy Center USM Glickman Family Library PO Box 9301 Portland, Maine 04104-9301 or pay via credit card after clicking on Send   RELATED ITEMS Grantmaker Membership Application   Email This      Printable Version