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Application for Affiliation '08

An Annual Application for Affiliation must be filed each year.  Please complete this application and return with the items listed below.

Along with this completed application, the following items are also required to finalize the application process:

  • Exhibit A - Affiliation fee: $37.00. Please make your check out to the National Wildlife Federation and mail to NWF Affiliate Relations, c/o Renewals, 11100 Wildlife Center Drive, Reston, VA 20190. Or, call Nicole Erickson at 703-438-6044 to pay by credit card.
  • Exhibit B - Provide copy of Articles of Incorporation and Bylaws, only IF AMENDED SINCE LAST YEAR'S APPLICATION.

Please note that incomplete applications will not be accepted. Additionally, failure in reporting must be brought to the attention of the Board of Directors Credentials and Affiliate Standards Committee and may affect delegate reimbursement for the 2008 NWF Annual Meeting.

By January 30, 2008, please submit the above items via online submission, email, fax or mail to:

NWF Affiliate Relations

c/o Renewals

11100 Wildlife Center Drive

Reston, VA 20190

Fax: 703-438-6488

Email: affiliaterelations@nwf.org

 

Please direct questions relating to Affiliate Renewals to Nicole Erickson at 703.438.6044 or affiliaterelations@nwf.org.
Name of Organization
Mailing Address
Street Address (if different from mailing address)
Telephone Number
Fax
Email

Web address

 

Membership information 

A) Individual members (non-club)  

Total number of members
Please describe your membership in the chart below:
____ Type Number of Members Annual Dues/Member
1
2
3
4
5
6

 

B) Affiliate Clubs

Total number of clubs
Club dues
Please approximate the total number of members belonging to affiliated clubs

 

C) Publication

Name of Primary publication
Frequency of distribution (e.g. monthly, quarterly, annually, etc.)
Number of individuals on mailing list
Is NWF on this mailing list?  (If no, please add NWF Affiliate Relations 11100 Wildlife Center Dr.  Reston, VA 20190 or, if electronic, affiliaterelations@nwf.org)
  Yes       No

 

Organization Tax Status

Organization status
Required filing
Date last IRS report filed
Date last State report filed

 

Financial Information for Most Recent Fiscal Year

Date range of last complete fiscal year
Actual income for last complete fiscal year
Actual expenditures for last complete fiscal year
Approved budget for upcoming fiscal year

Please fill out chart

____ Sources of income for most recent fiscal year Amount ($)
1
2
3
4
5

 

Paid Employees

Total number
Full time
Part time
Name of Executive Director

 

Additional Information

Date and Location of 2008 Annual Meeting
Date(s) and Location of 2008 Board Elections
Please list other meetings and special events scheduled for 2008

 

Affiliate Application Prepared By

Name
Position
Email
Telephone
Date