Fillable Printable World Aassociation of NGOs Membership Aapplication Form: Organization
Fillable Printable World Aassociation of NGOs Membership Aapplication Form: Organization
World Aassociation of NGOs Membership Aapplication Form: Organization
W
O
R
L
D
A
S
S
O
C
I
A
T
I
O
N
O
F
N
O
N
-
G
O
V
E
R
N
M
E
N
T
A
L
O
R
G
A
N
I
Z
A
T
I
O
N
S
W
A
N
G
O
world association of ngos
Membership Application Form: Organization
It is important that the name of WANGO be associated with integrity, ethics, and values that support the public good. WANGO
membership equates an NGO with being legitimate, active, and ethical. For this reason, the approval process is more extensive than
many associations. However, once your organization is approved, you join a special family of organizations. Furthermore, we keep the
annual dues much lower than most associations, having been formed by NGOs to serve NGOs.
A non-profit organization must be in existence for two years prior to applying for WANGO organization membership.
While non-profit organizations constitute the main membership of WANGO, affiliate and associate (non-voting) memberships are
available for commercial entities, governmental bodies, and interested individuals. To apply for an affiliate or associate membership,
please use another form. The following procedure applies for non-profit organizations.
TO JOIN WANGO
1. Complete this form and submit it to [email protected], or via fax to 914-631-8993, or via mail to Membership Director,
WANGO, 200 White Plains Road, First Floor, Tarrytown, NY 10591 USA.
2. SSubmit a copy of a document showing that you are registered in your nation, clearly noting the date of incorporation or registration.*
If this is not possible, since situations
vary around the world, then you may provide one of the following:
a) A copy of the organization's organizing documents (articles of incorporation, constitution, and/or bylaws), or equivalent document; oor
b) A letter of explanation of why your organization is not registered, along with two or more letters of recommendation to support your case.
3. For US-based organizations, you need only provide your EIN number.
3. SSubmit proof of recent activities, such as a copy of a recent brochure or a copy of the most recent annual report. (A web site address
for your organization will fulfill this requirement as well.)
4. The application should be authorized by the chairman of the board or the chief executive officer.
Once the completed application and membership dues are received, there will be an approval process. When you are accepted as a
WANGO member, you will receive a membership packet. If you are not admitted as a WANGO member, your application fee
(membership dues) will be reimbursed, minus a basic charge of US$15 for processing the application.
To help facilitate the processing of your application in a timely manner, please ensure that the documents requested in Numbers 2, 3
above are complete and submitted with the membership application.
Please direct inquiries, or submit supporting documents, to the Membership Director at mm[email protected],
or via fax to 9914-332-1582, or via mail to:
Membership Director,
WANGO, 200 White Plains Road, First Floor,
Tarrytown, NY 10591 USA.
Full Name of Organization (Please type or print clearly)
Registered in which countries? _________________________________________________________ Year Founded_____________________
Address
Mailing Address
(if different from above) ______________________________________________________________________________________
Tel ___________________________________ Fax _____________________________________ Web Site ______________________________
Email________________________________________________________ Current Annual Budget ____________________ Year ___________
Executive Director _______________________________________ Title
(If different) _______________________ # of Full Time Staff ________
Street City
State or Province Zip Code Country
Mission Statement
Is this a membership organization?
❑ Yes ❑ No Type of Members ❑ Individuals ❑ Organizations ❑ Both
Number of members? ____________________
ORGANIZATION INFORMATION
❑ New Application ❑ Renewal (complete financial section and update information)
MEMBERSHIP CATEGORIES (select one)
❑ Regular Available to NGOs (Any non-profit organization not established by a governmental entity or intergovernmental agreement.
May be organized on a local, national, subregional, regional, or international level.) (One Voting Representative.)
❑ Senior The highest membership class to which an organization can apply for membership. Senior Organization Membership may
be awarded to an NGO which has chapters or full-time offices in four or more nations; or is an Association with more than 10,000
individual members or 100 institutions or organizations; or which is a university or college. (Two Voting Representatives.)
❑ Affiliate Available to organizations other than NGOs, such as governmental and inter-governmental bodies and businesses, which
are engaged in functions consistent with the purposes of the Association. (Non-Voting Membership.)
For Individual membership, please use the Individual Membership Application Form.
W
O
R
L
D
A
S
S
O
C
I
A
T
I
O
N
O
F
N
O
N
-
G
O
V
E
R
N
M
E
N
T
A
L
O
R
G
A
N
I
Z
A
T
I
O
N
S
W
A
N
G
O
world association of ngos
Membership Application Form: Organization
AREA(S) OF ACTIVITY (please check up to three only)
❑
Ageing
❑
Agriculture & Food
❑
Business & Economic Policy
❑
Children & Youth
❑
Communications & Media
❑
Conflict Resolution
❑
Development
❑
Education
❑
Environment
❑
Family
❑
Human Rights
❑
Health & Nutrition
❑
Indigenous People
❑
International Organization
❑
Labor
❑
Law & Legal Affairs
❑
Narcotics, Drugs & Crime
❑
Peace & Security
❑
Population/ Human Settlements
❑
Refugees
❑
Relief Services
❑
Religion, Belief & Ethics
❑
Science & Technology
❑
Social & Cultural Development
❑
Sports & Recreation
❑
Trade & International Finance
❑
Women’s Status & Issues
❑
Other _______________________
MEMBERSHIP DUES
(dues are based on organization’s annual budget)
Annual Budget Membership Dues
1-year 2-years 3-years
Up to U.S. $ 25,000 $15
❑ $25 ❑ $35 ❑
U.S. $ 25,000 - U.S. $100,000 $30 ❑ $55 ❑ $75 ❑
U.S. $100,000 - U.S. $500,000 $50 ❑ $90 ❑ $130 ❑
Over U.S. $500,000 $75 ❑ $135 ❑ $195 ❑
Contact Person ❑ Male ❑ Female Title: ❑ Dr. ❑ Mr. ❑ Mrs. ❑ Ms. ❑ Professor Other _______________
First Name _____________________________________________________ Middle Name
Last Name
Position _________________________________________________ Email ______________________________________________________
Telephone _____________________________ Fax _________________________________ Other Phone ____________________________
PAYMENT
Payments can be made by credit card, check, money order or Western Union. Checks and money orders should be made payable to
WANGO and must be in U.S. dollars and drawn upon a U.S. financial institute. (If Western Union is used, please contact WANGO for
specific directions prior to sending funds.)
Membership dues
❑ Check Enclosed
❑ Western Union
Donation to Endowment Funds
❑ Cash Enclosed
(see below)
❑ Visa
Total
❑ Master Card
❑ American Express
ENDOWMENT FUNDS
WANGO Endowment Funds advance Association initiatives and assist small NGOs in less developed countries. [WANGO is a registered
501(c)(3) non-profit organization. All donations are tax deductible in the U.S.]
❑ Scholarship Fund This fund is to support attendance of small NGOs from the least developed countries to attend WANGO’s
World Congress of NGOs.
❑ Founders International Fund This endowment is used to provide grants in support of activities of small NGOs.
❑ Awards Fund This fund is used to support the WANGO Awards Program, which honors excellence among NGOs in several categories.
Name (of card holder) ____________________________________
Card # _________________________________________________
Expiration date __________________________________________
Signature (of card holder) _________________________________
Telephone # (of card holder)_______________________________
I am an authorized representative of this organization and I affirm that all information submitted on this form is true and accurate.
_____________________________________ ________________________________________ ____________________________
print name signature date
Note: Membership is activated only when membership dues are received and application is approved by the Secretary General and Membership Committee.
World Association of Non-Governmental Organizations (WANGO)
200 White Plains Rd. First Floor, Tarrytown, NY 10591 Tel: 914-631-8990 Fax: 914-332-1582 Email: [email protected] Web Site: www.wango.org
Level of activity ❑ Local ❑ National ❑ International
Programs & Activities
Note: Membership is activated only when membership dues are received and application is approved by the Secretary General and Membership Committee. If you are
not admitted as a WANGO member, your application fee (membership dues) will be reimbursed, minus a basic charge of US $15 for processing the application.
