Test Page | Media Impact Funders

Membership Transaction Type(Required)

Organization Name(Required)

Organization Contact(Required)

First Last

Contact's Email Address(Required)

Your Address(Required)

Street Address Address Line 2 City ZIP Code

Organization Phone(Required)

Organizational Areas of Interest(Required)

Select areas of programming where your organization makes media grants.

Please describe your grantmaking or funding activities related to media.(Required)

To confirm your eligibility please refer to the guidelines on the left of this page.

How did you find out about Media Impact Funders?(Required)

Other Organizational Contacts(Required)

Media Impact Funders Membership is valid across your whole organization. Please provide the full name, title and email address for team members who should be listed on the membership.

Organizational Staff Changes(Required)

Please let us know of any staff changes since your last membership transaction. For any new staff members not yet added to the membership, please provide their contact details.

Membership Rate Structure
$600	Foundations, private donors and organizations with an annual grants budget under $1M
$1,500	Foundations, private donors and organizations with an annual grants budget between $1M and $4.99M
$3,000	Foundations, private donors and organizations with an annual grants budget between $5M and $9.99M
$5,000	Foundations, private donors and organizations with an annual grants budget between $10M and $14.99M
$7,500	Foundations, private donors and organizations with an annual grants budget between $15M and $24.99M
$10,000	Foundations, private donors and organizations with an annual grants budget between $25M and $49.99M
$15,000+	Foundations, private donors and organizations with an annual grants budget more than $50M

Dues Tier(Required)

Membership dues are based on your organization's annual total grantmaking budget. Please refer to the Rate Structure above to identify your correct tier.

Payment Method(Required)

Please select your preferred payment method. If you select ACH we will reach out and send you an invoice to complete the payment via bill.com.

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Credit Card

ACH

Credit Card(Required)

Make checks payable to: Media Impact Funders

Mail to:
Media Impact Funders
200 West Washington Square
Suite 220
Philadelphia, PA 19106