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For dues in excess of $10,000, kindly pay via check. If you prefer an alternative method of payment, please contact us at membership@mediafunders.org.
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First Name*
Last Name*
Email*
Organization
Does your organization consider this payment a grant?
- Yes
- No
- Not Applicable
Donation Amount*
For dues in excess of $10,000, kindly pay via check. If you prefer an alternative method of payment, please contact us at membership@mediafunders.org.
Payment Method*
Make checks payable to: Media Impact Funders

Mail to:
Media Impact Funders
200 West Washington Square
Suite 220
Philadelphia, PA 19106
Billing Address*
Street Address Address Line 2 City State ZIP Code
Credit Card*
Card Details
Cardholder Name
CAPTCHA

Your donation supports our growing network of funders who care about effective use of media, and the programming and communications we create to serve them.