Organization Membership Application
Start your annual MACH membership today and join other organizations that are passionate about ending homelessness in our community. Annual membership is valid from October 1 – September 30. For NEW MEMBERS ONLY, memberships purchased after June 30 will be valid until September 30 of the following year. Questions about membership? Call (334) 261-6182.
Organization Name
*
Name of Member or Primary Representative
*
First Name
Last Name
Alternate Representative
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
Please enter a valid phone number.
Secondary Phone Number (if applicable)
Please enter a valid phone number.
Email
*
example@example.com
If you provide assistance for homeless persons, please describe the type(s) of services you offer:
What is your interest in problems related to homelessness?
Please select what type of organization you are.
*
Unincorporated Organization
Corporation
Government Entity
Other
Please select your tax determination.
*
Profit
Non-profit
If your organization is a non-profit, please select the type of non-profit.
IRS 501c(3) charitable
Public/Governmental
Faith-based
Other
Membership Payment and Optional Donations
*
Categories:
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All
Membership
Make a Donation to Support Our Work
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Membership
$50 Organizational Member
Annual membership is valid from October 1 – September 30. For NEW MEMBERS ONLY, memberships purchased after June 30 will be valid until September 30 of the following year.
$
50.00
Make a Donation to Support Our Work
$10 purchases a hygiene kit for someone living on the streets or in a place not meant for human habitation.
$
10.00
$25 purchases a State I.D. for someone experiencing homelessness to access needed services.
$
25.00
$50 purchases a one-month bus pass for someone experiencing homelessness to attend job training, look for employment, or report to work.
$
50.00
$100 supports daily activities of our Street Outreach and Housing programs.
$
100.00
$500 supports our work to assess needs, secure resources, and implement plans to end homelessness in our area.
$
500.00
Donate Another Amount
$
1.00
Donation Amount
Item subtotal:
$
0.00
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