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NPower Indiana Membership Renewal

* Required field.

 
Organization Name *
  Yes, we'd like to renew our membership with NPower Indiana *
 
New Enrollment Date (as of today) * / /
 
Please indicate any changes in the following contact information:
 
Executive Director Name
Executive Director Email
Primary Contact Name
Primary Contact Email
Billing Contact Name
Billing Contact Email
Address
City, State Zip Code ,
Telephone
Fax
General Email Address
Website Address
 
Please select your annual operating budget:
 
Annual Operating Budget Membership Dues
 Over $5 Million $450
 $1 Million - $5 Million $350
 $250,000 - $1 Million $250
 $50,000 - $250,000 $150
 Below $50,000 $50
 
Thank you for renewing your membership with NPower Indiana!
 

If you have any questions, please contact Paul Giese at paulg@npowerin.org or (317) 396-2848 ext. 14 .