Citizens for Juvenile Justice
From our Twitter feed:

 
Subscribe to our eNewsletter

Organizational membership form

Fiscal Year 2017 (July 1, 2016 to June 30, 2017)

1. Tell us about your organization

Organization Name:
Organization Address:
City: State: Zip:
Name of Executive Director:
Email:
Phone:
Contact for CfJJ Membership (if other than Executive Director)
Name:
Title:
Email:
Phone:

2. Membership Dues

Organizational membership dues are based on your organization’s Massachusetts juvenile justice budget (for services, programs or activities related to children and adolescents in conflict with the law) and on its budget for other, non-juvenile justice work in Massachusetts, according to the following schedule:

A

 

B

The MA juvenile justice portion of my organization’s budget is:

 

Col. A Dues

 

The MA non-juvenile justice portion of my organization’s budget is:

 

Col. B Dues

less than $100,000
$100,000–$250,000
$250,000–$500,000
$500,000–$1 million
$1 million–$2 million
$2 million–$3 million
$3 million–$4 million
$4 million–$5 million
$5 million plus

 

$150
$200
$500
$1000
$1,500
$2,000
$3,000
$4,000
$5,000

 

less than $100,000
$100,000–$250,000
$250,000–$500,000
$500,000–$1 million
$1 million–$2 million
$2 million–$3 million

and so on

($500 for Col. B dues for every $1 million or part thereof)

 

$100
$150
$250
$500
$750
$1,000

Example: If your organization’s MA juvenile justice budget is $2.5 million ($2,000 dues from Column A) and its MA non-juvenile justice budget is $3.5 million ($1,500 dues from Column B), your organization’s total membership dues would be $3,500.

Column A Dues:

+

Column B Dues:

=

Total Dues:

3. Additional Donation

Support CfJJ’s advocacy, policy development and educational programs with a donation, in addition to your dues!

         

4. Total

Dues
(section 2 total):

+

Additional Donation
(section 3; if none, put “0”):

=

Total to be invoiced
to your organization:

Citizens for Juvenile Justice is a tax-exempt 501(c)(3) public charity.
Your membership dues and contributions are tax-deductible to the full extent provided by law.

5. Invoicing

How do you prefer to receive your invoice?



Name of person to receive CfJJ membership invoice:
Email of person to receive CfJJ membership invoice:
  

“Submit form” sends your form to CfJJ via email.
“Reset form” clears all your data without sending.