Please fill out the form below to pay your membership dues. 1 Start 2 Payment 3 Complete Member Organization Organization Name Email * Membership Type * - Select -Worker CooperativeDemocratic WorkplaceCooperative DeveloperStartup WorkplaceConversionAssociate OrganizationFederation Partner Membership Fee * $ Primary Contact First Name * Last Name * Email * Billing Contact First Name * Last Name * Phone Number * Email * Are you paying dues on the behalf of someone else's organization? No Yes If your organization is paying another organization's member dues, please let us know here (e.g. if you are a co-op developer and are paying dues for a co-op you're developing, please select 'Yes') Dues-Paying Organization Please enter the information for the member whose dues you are paying above. Please enter the information for the organization paying dues (your organization) here. Organization Name Email CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Next Page >
