MEMBER APPLICATION

PACE is a community of grantmakers and donors committed to strengthening democracy by using the power, influence, and resources of philanthropy to open pathways to participation. YES, I Want To Be a Member of The PACE Community!   Name: Title: Organization: Address: City: State: Zip: Phone: Fax:      E-mail: I understand that as a Member of PACE I will be expected to       1. Share information about my investments,       2. Participate in discussions and explore issues and questions with other          funders and donors,       3. Co-sponsor activities and lead conversations on PACE issues, and       4. Provide financial support. Welcome! As a PACE Member, your active participation is critical to building momentum and accomplishing PACE's work. Your interests, experience, and knowledge will help create and fuel PACE's programming. Contribution to Support PACE Membership is open to individual donors and grantmakers who are funding efforts to strengthen democracy. Membership contributions are based on annual grantmaking budgets: Annual Grantmaking Budget is: Dues Individuals/ up to $200,000 $250 $200,000 - $1 million $500 $1 million - $5 million $1,000 $5 million - $10 million $2,500 $10 million - $30 million $3,500 $30 million - $50 million $5,500 $50 million plus $7,500   Please invoice me for the amount indicated above. I’m sending a check for $   Please make check payable to Philanthropy for Active Civic Engagement and mail to 444 Sherman St, Suite 200, Denver, CO 80203, Attn: Membership. Our tax identification number is 31-1705363. Additional Comments Thank You for Becoming a Member of PACE.