EmailMeForm
Thank you for your interest in NCADV membership. To see the benefits of membership,
please visit this link.
NCADV extends the yearly member rate of $119 to those who qualify as follows:
— Individuals with a personal interest in the issue and NCADV that are
not employed
by an entity that would otherwise qualify at the
Associate or Affiliate Membership levels.
*
— Individuals working for government or military agencies serving victims of violence whose agencies are prohibited from joining at the Associate or Affiliate Membership levels.
— Organizations providing direct services to victims or survivors of violence with
annual organizational incomes of less than $250,000 per year.
Your current year's approved operating budget must be provided to qualify.
Joining at this rate means you agree to not share your login information or NCADV member information with anyone else.
*If you have extenuating circumstances to this, please describe them in "other" below. NCADV will review internally and respond to your request.
Following the completion of this form, you will be directed to payment options or another page depending upon your responses.
Please allow NCADV up to one business week from the date of submission to process this application before inquiring about your application status.
Questions? Please contact membership@thehotline.org.
Name
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First
Last
Phone
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Email
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I am applying as:
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An individual with a personal interest in the issue and NCADV that is not employed by an entity that would otherwise qualify at the Associate or Affiliate Membership levels.
An individual working within a government or military agency serving victims of violence whose agency is prohibited from joining at the Associate or Affiliate Membership levels.
An organization providing direct services to victims or survivors of violence with an annual organizational income of less than $250,000 per year.
Other
Organization's Name
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Organization's website:
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List the direct services you provide to victims and survivors of violence:
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What is your organization's total annual income?
*
Upload your organization's current, approved operating budget.
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Alternative files to your current approved operating budget will not be accepted. Questions? Contact membership@thehotline.org before completing this form.
Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
By joining at this level:
*
Agree
I will not share my member login information with others.
I will not share the information I access via NCADV membership with others.
I understand that if I breach these terms my membership with NCADV will be immediately terminated without refund.
Individual payment options (you will be redirected to another page based on your payment choice)
*
I need an invoice to pay via check
I would like to pay online
Organization <$250k payment options (you will be redirected to another page based on your payment choice)
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I need an invoice to pay via check
I would like to pay online