AFFILIATE LEVEL APPLICATION

Affiliation in International Funders for Indigenous Peoples is open to those who are aligned with our Mission,
Vision and Values but are not a donor themselves nor a primarily grantmaking organization. We welcome
individuals or institutions concerned about the livelihood, culture, and well-being of Indigenous Peoples and
their communities.
Affiliate level is open to:

Indigenous-led organizations that serve Indigenous communities.

Nonprofit service and support organizations and entities that provide services and support to the
philanthropic sector and have an active involvement in Indigenous communities.
For-profit service and support organizations that provide services and support to the philanthropic
sector and/or have an active involvement in Indigenous communities.
ORGANIZATION INFORMATION
FULL NAME OF ORGANIZATION (PLEASE TYPE OR PRINT CLEARLY)

CONTACT PERSON
ADDRESS
CITY
TEL

STATE
FAX

ZIP CODE

COUNTRY

E-MAIL

WEBSITE
YEARLY ASSETS

YEAR FOUNDED?
YEARLY GRANT LEVEL

% OF FUNDS TO INDIGENOUS

AREA(S) OF INTERNATIONAL FOCUS

1) What is the focus of your support or work with Indigenous communities?
2) What regions or countries do you work in?
3) What do you most want to get out of being an affiliate of IFIP?
4) What do you hope to contribute to the IFIP network and how is your mission in line with ours?
______________________________________________________________________________________________
5) How did you learn about IFIP?
Affiliate Membership Application

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AFFILIATE OPPORTUNITIES
(In lieu of membership, for those organizations that do not qualify for membership but wish to support IFIPs vision, or as a voluntary top-up for members.)

Affiliate Levels

Family

Alliance

Friend

$7,501 or More

$2,501-$7,500

$1,001 - $2,500

Conference or Regional Meeting

Reduction

15%

10%

5%

Listing on our Website

Yes

Yes

Yes

Yes

Receive monthly e-newsletter and

member listserve

Yes

Yes

Yes

Yes

Donation amount

Pledge
$250 to $1,000

PAYMENT INFORMATION

Payments can be made by credit card, check, money orders or wires

Checks and money orders should be made payable to International Funders for Indigenous Peoples
Please email support@internationalfunders.org for Bank Wire information
NOTE: Tax receipts will be provided for sponsorships and not for memberships if members are a 501(c)3 organization.

ENCLOSED PLEASE NOTE MY FORM OF PAYMENT

Check

Money Order

Wire

Visa

MasterCard

American Express

DONATION TOTAL
Name (of Cardholder) ______________________________________________________________
Card #_____________________________________________________________________________
Expiration Date ____________________________________________ Security Code __________
Signature (of Cardholder)____________________________________________________________
Telephone # (of Card holder) _________________________________________________________

PLEASE SEND FORM AND CHECKS TO:

International Funders for Indigenous Peoples
PO Box 29184, San Francisco, CA 94129 T: (415) 580-7982 F: (415) 580-7983
Email: support@internationalfunders.org Web: www.internationalfunders.org

Please Visit Us Online!

Visit us on the web at http://www.internationalfunders.org
www.facebook.com/IFIPphilanthropy

Affiliate Membership Application

@IFIP

IFIP