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Online Membership Form

To join Grassroots Grantmakers, please complete the form below and click "Submit".

If you would like to speak with a current Grassroots Grantmakers member, call 361.798.1808 for the name of an individual near you.
Organization
Representative

Mailing Address
Street Address

City
State
    		 Zipcode
Area Code/Phone
Fax
E-mail
Dues
$500/yr. (Contributing Member)
$2,000-$4,999/yr. (Sustaining Member)
$5,000 or more/yr. (Cluster)
$100/yr. (Friend)
We would be willing to share our experience in the following areas in a peer learning setting:
We are particularly interested in learning more about:
Please provide a brief description of the neighborhood program you currently offer or would like to provide:

 
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