NWNC Native and Tribal Membership Form

Form for Native and Tribally-owned businesses to become members at a 50% price reduction.

Membership Form

Fill out this form to provide us with complete and accurate information for your business in our directory and business map.

Personal Information

This information is for a point of contact for the organization to contact in case of membership issues. Billing and invoicing will be directed to the email provided.

Name(Required)

First Last

Preferred Pronouns(Required)

Email(Required)

Enter Email Confirm Email

Username(Required)

Password(Required)

Enter Password Confirm Password

Business Information (PUBLIC)

All information provided in this section will be added to our directory. If your business address is your home address, please only include your city, state, and zip code.

Business or Organization Name(Required)

Business Description(Required)

Describe your business; your story, your services, etc.

Full Time Employees(Required)

0-25

26-49

50+

Ethnicity

For non-profits and institutions use Board and Executive team demographics

Native

Asian American

Black American

Latinx/Latine

White, non-Hispanic

Proof of Tribal Citizenship or Descendancy(Required)

Please Upload proof of citizenship or descendancy here. Tribal Entities, please upload a secondary logo. See our Tribal Sovereignty & Identity Policy for more information: https://acrobat.adobe.com/id/urn:aaid:sc:VA6C2:0170bbf4-1286-4c60-8cc4-d5ae78be71d8

Drop files here or

Max. file size: 50 MB, Max. files: 5.

Geographic Demographics

Where do you provide services?

International (Non-US)

Idaho

Oregon

Reservation

Rural

Urban

Washington

Gender Demographics

For non-profits and institutions use Board and Executive team demographics

Female

Male

Non-Binary

Transgender

Two Spirit

Business Type/Industry

Agriculture

Cannabis

Community Organization

Creative Professional Services

Food and Beverage

Government Services

Health and Wellness

Motor Vehicles and Parts

Professional Services

Tech

Business Address

Street Address Address Line 2 City State ZIP Code

Business Phone(Required)

Website(Required)

Logo (png only)

Our Membership Directory uses a light colored background behind logos. Please submit white or light colored logos with a colored background.

Accepted file types: png, Max. file size: 50 MB.

Instagram Page

Linkedin Page

Facebook Page

Membership Level(Required)

Native-owned businesses will be given a 50% discount for membership upon verification of citizenry or descent. Native Student Membership is free with proof of attendance Native Elder (65+) Membership is pay what you can.

Solopreneur/Small Business (0-25 FTE) Free for Native-Owned Businesses

Medium Business (26-49 FTE) $50.00 annually

Large Business (50+ FTE) $150.00 annually

Small Corporation (0-25 FTE) $100.00 annually

Medium Corporation (26-49 FTE) $250.00 annualy

Large Corporation (50+ FTE) $375 Annually

International Corporation $1,000.00 annually

Small Nonprofit (0-25 FTE) Free for Native-led non-profits

Medium Nonprofit $50.00 annually

Large Nonprofit $75.00 annually

Tribal Government $500.00 annually

Singular Tribally-Owned Enterprise $250.00 annually

Student (Free)

Elder (Free)

Total

Credit Card(Required)

Consent for Membership Directory(Required)

I consent for the information above labeled (PUBLIC) to be added to NWNC's Directory

I *DO NOT* consent for the information above labeled (PUBLIC) to be added to NWNC's Directory

Mailing List Opt in(Required)

I consent for the information above labeled (Not PUBLIC) to be added to NWNC's Mailing List

I *DO NOT* consent for the information above labeled (Not PUBLIC) to be added to NWNC's Mailing List

This field is for validation purposes and should be left unchanged.

Native and Tribally-owned Business Membership Form

Membership Form

Fill out this form to provide us with complete and accurate information for your business in our directory and business map.

Personal Information

This information is for a point of contact for the organization to contact in case of membership issues. Billing and invoicing will be directed to the email provided.

Name(Required)

First Last

Preferred Pronouns(Required)

Email(Required)

Enter Email Confirm Email

Username(Required)

Password(Required)

Enter Password Confirm Password

Business Information (PUBLIC)

All information provided in this section will be added to our directory. If your business address is your home address, please only include your city, state, and zip code.

Business or Organization Name(Required)

Business Description(Required)

Describe your business; your story, your services, etc.

Full Time Employees(Required)

0-25

26-49

50+

Ethnicity

For non-profits and institutions use Board and Executive team demographics

Native

Asian American

Black American

Latinx/Latine

White, non-Hispanic

Proof of Tribal Citizenship or Descendancy(Required)

Drop files here or

Max. file size: 50 MB, Max. files: 5.

Geographic Demographics

Where do you provide services?

International (Non-US)

Idaho

Oregon

Reservation

Rural

Urban

Washington

Gender Demographics

For non-profits and institutions use Board and Executive team demographics

Female

Male

Non-Binary

Transgender

Two Spirit

Business Type/Industry

Agriculture

Cannabis

Community Organization

Creative Professional Services

Food and Beverage

Government Services

Health and Wellness

Motor Vehicles and Parts

Professional Services

Tech

Business Address

Street Address Address Line 2 City State ZIP Code

Business Phone(Required)

Website(Required)

Logo (png only)

Our Membership Directory uses a light colored background behind logos. Please submit white or light colored logos with a colored background.

Accepted file types: png, Max. file size: 50 MB.

Instagram Page

Linkedin Page

Facebook Page

Membership Level(Required)

Solopreneur/Small Business (0-25 FTE) Free for Native-Owned Businesses

Medium Business (26-49 FTE) $50.00 annually

Large Business (50+ FTE) $150.00 annually

Small Corporation (0-25 FTE) $100.00 annually

Medium Corporation (26-49 FTE) $250.00 annualy

Large Corporation (50+ FTE) $375 Annually

International Corporation $1,000.00 annually

Small Nonprofit (0-25 FTE) Free for Native-led non-profits

Medium Nonprofit $50.00 annually

Large Nonprofit $75.00 annually

Tribal Government $500.00 annually

Singular Tribally-Owned Enterprise $250.00 annually

Student (Free)

Elder (Free)

Total

Credit Card(Required)

Consent for Membership Directory(Required)

I consent for the information above labeled (PUBLIC) to be added to NWNC's Directory

I *DO NOT* consent for the information above labeled (PUBLIC) to be added to NWNC's Directory

Mailing List Opt in(Required)

I consent for the information above labeled (Not PUBLIC) to be added to NWNC's Mailing List

I *DO NOT* consent for the information above labeled (Not PUBLIC) to be added to NWNC's Mailing List

Comments

This field is for validation purposes and should be left unchanged.