NCBA CLUSA - Member Contacts Update Form

Member Contact Information Update Form

(send NCBA CLUSA membership team an updated contact list.)
Thank you for your membership with NCBA CLUSA!

In an effort to provide equitable access to the NCBA CLUSA membership benefits (click here to view NCBA CLUSA member benefits) within your organization, we are providing more opportunities to identify eligible staff and board directors from your co-op or co-op supporting organization.

You are welcome to upload a spreadsheet (.xls or .csv) with the pertinent information. You are also welcome to use the template that we have provided you.

To confirm if your co-op / co-op serving association is a current member of NCBA CLUSA, please view this list here: https://ncbaclusa.coop/ncba-clusa-membership/.

To discuss any additional questions or details about the process, you are welcome to contact NCBA CLUSA Membership Team at membership@ncba.coop or 202-442-2326.
Name*

First NameLast Name
E-mail*
Co-op/Org Name*
Co-op/Org Web Domain*
website, e.g. www.ncba.coop if none, type "n/a"
Work Title
Co-op Industry Org Type*
Upload Your Co-op/Organization Staff List

We recommend that you use the template provided below. You are also welcome to create and upload your own document. We need the following data points to ensure that we can give access to your staff members and board directors:
1. First Name
2. Last Name
3. Work Title
4. Email Address
Upload Your .xls or .csv spreadsheet file with the first name, last name, work title, and email address.*

Browse Files
Allowable file types = pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi. Max size = 10MB Cancelof
General Comments or Recommendations
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Member Contact Information Update Form