Network Renewal "*" indicates required fields Please renew today by providing updated info about your organization and paying dues. Your renewal will ensure we have your current contact and program information, so that we can connect with you and connect you to other members and resources. To fill out this form as a PDF, download it here.Contact InformationOrganization Name*Primary Contact* First Last Title*Email* Office PhoneCell PhoneHow do you prefer to be contacted? Email Phone Text Message All of the Above Other Secondary Contact First Last TitleEmail PhoneAre there additional people we should add to our mailing list and Network listserv? We have additional people to add to the ReLeaf mailing list and Network listserv Name 3 First Last Title/RoleEmail Name 4 First Last Title/RoleEmail Name 5 First Last Title/RoleEmail Organizational UpdatesPlease ensure we have the correct information for your organization. If you're not sure, update it just in case!In the last year, what of the following has changed in your organization?* Types of programs Mailing Address Geographic scope Number of staff Budget size Executive Director Mission Statement Website URL Social Media Handles 501c3 Status Nothing has changed What types of tree programs do you operate? Commercial Fee-for-Service Planting Fruit Tree Plantings Memorial/Commemorative Plantings Native Tree Restoration Open Space Plantings Park Plantings Pruning Residential School Tree Plantings Street Tree Plantings Tree Care Tree Distributions/Giveaways Utility Trees Plantings What types of other urban forest or urban greening activities do you conduct? Bioswales Community Gardens Mitigation Projects Nursery Pocket Parks Urban Wood Reutilization Vegetative Cover Plantings or Restoration What types of education programs do you operate? Advocacy / Educating Decision-Makers Arboretum or Botanical Garden Environmental Justice Programs Job Training / Workforce Development Public Education Programs Tree Care Volunteer Training Tree Tours Youth Education Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code In what zip codes do you operate programs?If you operate in entire cities or counties, you may list those instead of individual zip codes.How many full-time-equivilant staff do you have? Volunteer Only 0-5 FTE 5-15 FTE 15+ FTE (Two half-time staff would equal one FTE)What is the size of your budget? $0 - $75k $75k - $500k Over $500k Executive Director / PresidentMission statementWebsite URLFacebook HandleInstagram HandleTwitter Handle501c3 Status We are now an independent 501c3 We have a new fiscal sponsor Other IRS Determination NumberFiscal Sponsor NameFiscal Sponsor IRS Determination NumberNetwork Dues & Advocacy SupportYour annual dues support our ability to provide Network benefits. Please know DUES ARE OPTIONAL. Suggested Dues: $120 per organization, and a sliding scale for additional advocacy support. We know that nonprofit finances can be stretched thin, so we ask that you simply pay what you can or select the "will not be paying dues this year" option below. Advocacy Support In addition to your regular membership dues, we ask that you please consider giving an additional amount to support advocacy, based on your organization’s annual budget. These are suggested amounts. Annual budget of $75,000 or less: $50 Annual budget of $75,001 – $500,000: $180 Annual budget of $500,001 or more: $480How would you like to pay Network dues?* Credit Card or Paypal Online Mail a check We won't be paying dues this year Network Dues Advocacy Support Total Write your check to California ReLeaf and send to the address below. In the memo line, please indicate the amounts for Network dues and advocacy. California ReLeaf 2115 J St. Suite 213 Sacramento, CA 95816Payment MethodCredit CardPayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Billing Address* Same as Mailing Address (only check if mailing address was entered above) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
