Fall BoardConnect Waitlist/Spring BoardConnect Registration
1. Organization Name
*
2. Has your organization participated in BoardConnect previously?
*
Yes
No
3. EIN (Tax ID)
*
4. Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
5. Main Attendee Name
*
First Name
Last Name
6. Main Attendee Title (Ex. Executive Director, Program manager, etc.)
*
7. Main Attendee Email
*
example@example.com
8. Main Attendee Phone Number
*
Please enter a valid phone number.
9. Secondary Attendee Name
*
First Name
Last Name
10. Secondary Attendee Title (Ex. Executive Director, Program manager, etc.)
*
11. Secondary Attendee Email
*
example@example.com
12. Secondary Attendee Phone Number
*
Please enter a valid phone number.
13. Please upload your current logo.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
14. Please share any organizational photos that may be used in marketing materials.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
15. Please enter your mission/vision/purpose statement(s) below.
*
Submit
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