Grassroots Toolbox: Registration

Welcome to the Grassroots.org Online Membership Application Membership is free and open to all registered U.S. 501c3 nonprofits and Canadian Charitable Organizations. All members must abide by Grassroots.org nondiscrimination policies. Please note: Grassroots.org members are required to place a Grassroots.org banner on the homepage of their website.
Login Information: Be sure to write this down in a safe place as you will later use it to log into the toolbox. Keep in mind this is an organization-wide login, so a username like "newyork_foodpantry" is a better fit than "samuel_stone"
*Username	*Password
Organization Information
*Organization Name
Upload a copy of your 501(c)3 or Canadian Charitable Registration letter. If you do not have an e-version, you may fax it to us at 800-214-1854. (.doc, .txt, .pdf, .jpg*)
*Mission Statement, maximum 100 characters
*Service Area		*Tax Id (EIN)
Organization Contact Information
*Organization Email		Fax
*Primary Phone #		Secondary Phone #
*Address 1
Address 2
*City	*State Or Province	*Zip Or Postal Code
*Country
Primary Contact Please choose one person from your organization to be the primary contact for Grassroots.org
*First name	*Last name
Contact email (may be the same as organization email)*
Organization Detail
*Year Founded	*# Of Paid Staff
*Organization Budget	# of Fulltime tech staff
Would you like your organization to appear on our nonprofit member map? Yes No
*Where did you hear about us?
If you answered "other" to the question above, please explain.

I understand that by submitting this form I am agreeing to the Grassroots.org Member Terms of service agreement.