LIHP New Membership Form

Interested in Joining as a Member of the Long Island Housing Partnership?

MEMBER INFORMATION

Company Name:

Contact Person:

First Name

Last Name

Street Address

City

State

Zip Code

Phone

Referred By:

Select Your Membership Level (annual dues)

Membership Level:

Founder $10,000.00Benefactor $5,000.00Sponsor $2,500.00Member (25 or more employees) $1,000.00Member (between 11 and 24 employees) $500.00Member (10 or fewer employees) $250.00

MEMBERS MAKE THE LONG ISLAND PARTNERSHIP'S WORK POSSIBLE.

PLEASE MAKE A COMMITMENT TO LONG ISLAND'S FUTURE.

LIHP IS A 501(C)(3) TAX EXEMPT NOT FOR PROFIT CORPORATION AND CONTRIBUTIONS ARE TAX DEDUCTIBLE AS PRESCRIBED BY THE FEDERAL TAX LAWS.

Payment Information

LIHP Membership

Name on Card

Card Number

Code

Billing Email

Address Line 1

Address Line 2

City

State

Zip Code

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Contact Information