PHILANOS - Member Subscribe

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Connect with Philanos

Use the below form to provide us with your contact information. If your giving circle is a member of Philanos, be sure to select them from the list available in the Philanos Affiliate field. Once you submit the below form, we will receive notification and will link your profile to your giving circle for Philanos Affiliate benefits, including access to all of the resources in our Affiliate Portal.

If your organization is not a member of Philanos, select Guest and list your organization's name in the Guest Organization Name field.

Subscription form

* Mandatory fields

*First name

*Last name

*Preferred first name

First Name, Nickname, what do you like to be called?

*Email

MANDATORY FIELD for login capabilities. This is your preferred email address and your key to Philanos Affiliate benefits.

*Philanos Affiliate

Member organization name.
If your organization is not listed please enter the complete name in the "Guest Organization Name" field below.

Affiliate acronym or common name

Optional - I.E. IWCF for Idaho Women's Charitable Foundation or "Impact Philly" for Impact100 Philadelphia

Guest Organization Name

Please enter your organization/company name if you selected Guest from the Philanos Affiliate drop down list above.

Affiliate/Organizational Title

Are you a board leader (ie Chair), a board director, a committee chair, or a committee member?

*Staff

Yes

No

Indicate YES if you are a paid staff person for your organization.

Reason for Subscribing

How did you hear about Philanos?

Affiliate's Website

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