North Central Florida Alliance for the Homeless and Hungry Membership Fee

Please select your membership level below.

Membership Fee *

Agency Level 1: Annual budget less than $500k - $ 100.00

Agency Level 2: Annual budget $500k - $1.99mil - $ 200.00

Agency Level 3: Annual budget $2mil - $4.99mil - $ 300.00

Agency Level 4: Annual budget $5mil - $9.99mil - $ 400.00

Agency Level 5: Annual budget $10mil and up - $ 500.00

Neighbor Membership - $ 0.00

Student/Senior Membership - $ 15.00

Advocate Membership - $ 50.00

Total Amount

Email Address *

General Info

Organization Name *

Credit Card

Card Type

Card Number

Security Code

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

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