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
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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.
TOJOINWANGO
1.Complete this formand 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 copyof 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 tosupport 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, 200WhitePlainsRoad,First Floor,
Tarrytown, NY 10591 USA.
FullNameofOrganization(Pleasetypeorprintclearly)
Registeredinwhichcountries?_________________________________________________________YearFounded_____________________
Address
MailingAddress
(ifdifferentfromabove)______________________________________________________________________________________
Tel___________________________________Fax_____________________________________WebSite______________________________
Email________________________________________________________CurrentAnnualBudget____________________Year___________
ExecutiveDirector_______________________________________Title
(Ifdifferent)_______________________#ofFullTimeStaff________
StreetCity
State or ProvinceZip CodeCountry
MissionStatement
Isthisamembershiporganization?
❑Yes❑NoTypeofMembers❑ Individuals❑ Organizations❑ Both
Numberofmembers?____________________
ORGANIZATIONINFORMATION
❑New Application❑ Renewal (completefinancialsectionandupdateinformation)
MEMBERSHIPCATEGORIES(selectone)
❑ RegularAvailabletoNGOs(Anynon-profitorganizationnotestablishedbyagovernmentalentityorintergovernmentalagreement.
Maybeorganizedonalocal,national,subregional,regional,orinternationallevel.)(OneVotingRepresentative.)
❑ SeniorThehighestmembershipclasstowhichanorganizationcanapplyformembership.SeniorOrganizationMembershipmay
beawardedtoanNGOwhichhaschaptersorfull-timeofficesinfourormorenations;orisanAssociationwithmorethan10,000
individualmembersor100institutionsororganizations;orwhichisauniversityorcollege.(TwoVotingRepresentatives.)
❑ AffiliateAvailabletoorganizationsotherthanNGOs,suchasgovernmentalandinter-governmentalbodiesandbusinesses,which
areengagedinfunctionsconsistentwiththepurposesoftheAssociation.(Non-VotingMembership.)
ForIndividualmembership,pleaseusetheIndividual Membership Application Form.
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world association of ngos
Membership Application Form: Organization
AREA(S)OFACTIVITY(pleasecheckuptothreeonly)
❑
Ageing
❑
Agriculture&Food
❑
Business&EconomicPolicy
❑
Children&Youth
❑
Communications&Media
❑
ConflictResolution
❑
Development
❑
Education
❑
Environment
❑
Family
❑
HumanRights
❑
Health&Nutrition
❑
IndigenousPeople
❑
InternationalOrganization
❑
Labor
❑
Law&LegalAffairs
❑
Narcotics,Drugs&Crime
❑
Peace&Security
❑
Population/HumanSettlements
❑
Refugees
❑
ReliefServices
❑
Religion,Belief&Ethics
❑
Science&Technology
❑
Social&CulturalDevelopment
❑
Sports&Recreation
❑
Trade&InternationalFinance
❑
Women’sStatus&Issues
❑
Other_______________________
MEMBERSHIPDUES
(duesarebasedonorganization’sannualbudget)
Annual BudgetMembership Dues
1-year2-years3-years
UptoU.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❑
OverU.S.$500,000$75❑$135❑$195❑
ContactPerson❑Male❑FemaleTitle:❑ Dr.❑ Mr.❑ Mrs.❑ Ms.❑ ProfessorOther_______________
FirstName_____________________________________________________MiddleName
LastName
Position_________________________________________________Email______________________________________________________
Telephone_____________________________Fax_________________________________OtherPhone____________________________
PAYMENT
Paymentscanbemadebycreditcard,check,moneyorderorWesternUnion.Checksandmoneyordersshouldbemadepayableto
WANGOandmustbeinU.S.dollarsanddrawnuponaU.S.financialinstitute.(IfWesternUnionisused,pleasecontactWANGOfor
specificdirectionspriortosendingfunds.)
Membershipdues
❑CheckEnclosed
❑WesternUnion
DonationtoEndowmentFunds
❑CashEnclosed
(seebelow)
❑Visa
Total
❑MasterCard
❑AmericanExpress
ENDOWMENTFUNDS
WANGOEndowmentFundsadvanceAssociationinitiativesandassistsmallNGOsinlessdevelopedcountries.[WANGOisaregistered
501(c)(3)non-profitorganization.AlldonationsaretaxdeductibleintheU.S.]
❑ScholarshipFundThisfundistosupportattendanceofsmallNGOsfromtheleastdevelopedcountriestoattend WANGO’s
World Congress of NGOs.
❑FoundersInternationalFundThisendowmentisusedtoprovidegrantsinsupportofactivitiesofsmallNGOs.
❑AwardsFundThisfundisusedtosupporttheWANGOAwardsProgram,whichhonorsexcellenceamongNGOsinseveralcategories.
Name(ofcardholder)____________________________________
Card#_________________________________________________
Expirationdate__________________________________________
Signature(ofcardholder)_________________________________
Telephone#(ofcardholder)_______________________________
I am an authorized representative of this organization and I affirm that all information submitted on this form is true and accurate.
_____________________________________ ________________________________________ ____________________________
print namesignaturedate
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
Levelofactivity❑Local❑ National❑International
Programs&Activities
Note:MembershipisactivatedonlywhenmembershipduesarereceivedandapplicationisapprovedbytheSecretaryGeneralandMembershipCommittee.Ifyouare
notadmittedasaWANGOmember,yourapplicationfee(membershipdues)willbereimbursed,minusabasicchargeofUS$15forprocessingtheapplication.
