LIFT Organizational Membership Application Form

LIFT Organizational Partnership & Membership Application

To apply for membership please complete all questions.
Name of Organization
Website
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
example@example.com
Cellular Number
Work Number
Purpose of Joining or Partnering?

Giving Tiers for Organizations

Seed Partners (Annually)Recognition on LIFT website and social platforms, Certificate of partnership, access to quarterly LIFT partner calls

$1,000.00

Builder Partner (Annually)All Seed Partner benefits, logo featured in LIFT publication/events, 1 complimentary LIFT leadership training workshop for staff/team

$5,000.00 Quantity

Vision Partners (Annually)All Builders benefits, strategic partnership feature in newsletter and podcast, opportunity to co-brand outreach projects or initiatives.

$10,000.00

Legacy Partners (Annually)All Vision benefits, recognition as a founding legacy partner, invitation to annual LIFT Global Summit (VIP Seating), opportunity for custom collaborative campaigns

$25,000.00 Quantity

Total

$0.00

Credit Card

Billing Adress

Use the address above.I want to specify a different billing address.
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Signature*

MonthDayYear
Date
Signature*

Clear
Should be Empty:

LIFT Organizational Partnership & Membership Application

Credit Card