To join The Connecticut Housing Coalition, please fill out this form and mail it with your dues to the address below:
Contact Person:
Email:
Town of Residence:
Organization:
Address:
City:
State:
Zipcode:
Website:
Telephone (work):
Telephone (fax):
Telephone (home):
Activities: (e.g., development, services, etc. --- please specify):
Individual Dues:
$200 (Benefactor)
$100 (Contributor)
$25 (Regular)
$5 (Low-income)
Nonprofit Dues:
$175 (Budget Over $500,000)
$125 (Budget $300,001 to $500,000)
$100 (Budget $200,001 to $300,000)
$75 (Budget $100,001 to $200,000)
$50 (Budget $10,001 to $100,000)
$25 (Budget Under $10,000)
Supporting Organizations Dues:
Amount:
$250+ (Corporate Sponsor)
$175 (For-profit Corporations)
$175 (Government Agencies)
Please fill out and mail to:
Connecticut Housing Coalition
30 Jordan Lane
Wethersfield CT 06109