Membership Checkout - Common Good Vermont

Membership Information

You have selected the $150,000 - $500,000* membership level.

$360 today, then $200 per year beginning January 2027.

Membership expires on January 1, 2027.

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Account Information

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Email Address

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Membership Contact Information

First Name

Last Name

Position Title

Organization Information

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Organization Type

Organization Annual Operating Budget

Subsector

Organization Social Media Accounts

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Organization Mailing Address

Address 1

Address 2

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State

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Principle Location Address

If same as mailing, check box and skip section

Address 1

Address 2

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County

State

Postal Code

Billing Address

First Name

Last Name

Address 1

Address 2

City

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Postal Code

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Phone

Payment Information

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Expiration Date

CVC

Discount Code

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