Membership Commitment Form for Existing Members

In consideration of the services provided by the National Community Development Association, the City (or County) of in the State of
commits to establish or continue membership in NCDA and pay dues in total for the period beginning July 1, 2022 through June 30, 2023.

Payment (in the form of check or purchase order or a commitment date to pay) of membership dues in the amount of

will be forwarded to NCDA*. You may also pay online after submitting your application. Expected payment date: .

First Name: *

Last Name: *

Title:

Agency:

Address:

City:

State:

ZIP:

Population:

Phone:

E-Mail Address: *

Web Site Address:

Statement Against Sharing NCDA Member Information or Soliciting NCDA Members

As an NCDA member, I agree not to share any materials or information produced for NCDA members, including but not limited to the following:

  • Membership database or list
  • Washington Report Newsletter
  • E-mail alerts
  • Any items on the Members Only page of the NCDA Website
  • Log-in information
  • Any other NCDA materials or information

Further, I agree not to solicit the NCDA membership in any manner.

Please type “Yes” to acknowledge that you have read and fully understand these requirements: