Non-Profit Registration

Membership Registration Information

Please complete the following form for the organization you are signing up for Canopy Membership.

Organization Name

Organization Address

Address Line 1

Address Line 2

City

State

Zip Code

Organization Contact Name

First

Last

This person will be Canopy's first point of contact regarding you company's membership.

Contact's Title

Contact's Email

Contact Phone

Organization's Tax-Exempt EIN Number

Organization Website / URL

Organization LinkedIn

Organization Facebook

Organization Instagram

Upload your company's logo.

Click or drag a file to this area to upload.

Note: This logo will be used on our online Member Directory and any signage where your organization is highlights as a member company.

Community Impact

This section will help us learn a bit more about your organization and the stakeholders you serve.

Please select the environmental impact categories that your organization primarily addresses. (Select all that apply) (copy)

What is your organization's stated mission?

What geographic areas do you serve in Kentucky?

Cities, counties, regions, or statewide are all acceptable answer formats.

How many FTE's (full time equivalents) does your organization have on staff?

To calculate your FTEs, use the following formula: total # of full-time employees + (total hours worked weekly by part-time employees / 30)

Tell us what you want out of your Canopy Membership! Select any of the below items that you'd like more information about: *

As the Canopy network grows, the Good Business Movement grows with it. Are there any companies or organizations you work with that you would like to see become Canopy Members?

Updating preview…

Please select the range that reflects your organization's annual operating budget on your most recent year's tax filing.

Coupon

Email Are select

Acknowledgement

I authorize Canopy to charge the payment method provided on a monthly basis.

Total

$0.00

Stripe Credit Card

Join the network today!

Membership Registration Information

Community Impact