Fair Budget Coalition Individual Membership Form This is an application to join FBC or renew as an individual member.(For organizations, go to Organization Membership Form.)Learn more about Membership. Complete your Membership Form in one of two ways Fill out the online form below; OR If you have questions, email april@fairbudget.org. Make payment in one of two ways Write check payable to FBC’s fiscal sponsor, Social Good Fund, with “FBC Membership Dues” in the memo line. Mail to Social Good Fund, 12651 San Pablo Ave. #5473, Richmond, CA 94805.Make payment online (note: includes a 4% processing fee (3.9% + $.30). Individual dues are $50 , with the option to request or sponsor a dues waiver. Date* MM slash DD slash YYYY Check one* New Member Renewal Name* First Last Email* Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneAdd to listserv?* Yes No Issue groups you’d like to be involved with: (select all that apply)* Select All Housing Security Food Access, Justice and Equity Healthcare Economic Justice Fair Taxes and Revenue Community Safety Dues payment (select all that apply)* Select All $50 Individual Member $100 Pay It Forward Membership: $50 Membership + Sponsor a fee Waiver for Another Member) Requesting Fee Waiver EmailThis field is for validation purposes and should be left unchanged. Loading…