2024-25 Membership Form Membership Fees 2024-25Student - FreeIndividual/Family - $50Non-profit/Gov./Joint Powers/Foundation/School - $100For-Profit - $150Choose onePayment MethodOnlineCheckPayable to: Community Resource Connections, 750 Paul Bunyan Dr NW, Ste 12, Bemidji, MN 56601Scholarship Donation OR Sponsor an Agency's Membership (optional)I want to ContributeI want to sponsorPay online at ZeffyOnline Membership Payment Scholarship Donation option is above Membership TypesAgency InformationAgency NameAgency Street AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeMailing AddressIf different from street addressApartment, suite, etcCityState/ProvinceZIP / Postal CodeAgency TelephoneAgency Email AddressAgency FAX NumberAgency WebsiteAgency Director/Coordinator/CEONameTitleMailing AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeEmail AddressPhoneAdditional Email ListThey will receive Interagency Meeting reminders, Weekly "Happenings," and donation noticesAdditional EmailsThey will receive Interagency Meeting reminders, Weekly "Happenings," and donation noticesEmail AddressWebsite RecognitionPlease include my oganization on the CRC WebsiteI would prefer NOT to be mentioned on the CRC WebsiteSend Message