2018 MEMBERSHIP FORM

COMMUNITY ACTION PARTNERSHIP

Please complete all required information and click "submit" to proceed to payment screen.
We need this information for the CAA directory!

If your agencies name has changed please contact S. Watkins.
Please update the below if any information has changed.

Check Program Services Provided:
CSBG Funding Level
  1-Year Membership
2-Year Membership
$100,000 or less $325.00 $600.00
$100,001 - $249,999 $625.00 $1150.00
$250,000 - $499,999 $850.00 $1600.00
$500,000 - $749,999 $1075.00 $2000.00
$750,000 - $999,999 $1550.00 $2900.00
$1,000,000 - $2,499,999 $1950.00 $3600.00
$2,500,000 - $4,499,999 $2800.00 $5000.00
$5,000,000 and over $3600.00 $6700.00
Affiliates, State & Regional & CSGB Offices $375.00 $700.00