New Website User Account

You will use your username and password to log-in here, so write this information down and keep it in a safe place.

NOTE: Passwords must be at least 6 characters in length and contain at least one uppercase letter and one number.

Username

Password

Organization Profile

Please provide us with the following details about your organization (* required fields):

Organization Name *

(select your organization from the dropdown, if applicable)

Doing Business As (DBA, if applicable)

(select your organization from the dropdown, if applicable)

Does your organization have two consecutive years of operating loss? * Yes
No

Do you have at least five board members? * Yes
No

Are you a private, non-for-profit policy organization that promotes free enterprise and limited government at the state and/or national level? Yes
No

Do you consider yourself a... * Student Group
Public Interest Law Firm
State Policy Group
National Policy Group
Media
Regulatory and Legislative Policy
None of the above

Physical Street Address *

City *

State *

ZIP Code *

Mailing Street Address * Same as Physical Address

City *

State *

ZIP Code *

NOTE: You will receive a secure verification code to access your account during login.
If you wish to receive the code via text, please enter a mobile number – standard message rates may apply.

Phone *

Fax

Website URL

Executive Director

Name *

Email *

Phone *

Application Contact

Our Executive Director is our application contact

Name *

Email *

Phone *

Grant Application Center

New Website User Account

Organization Profile

Executive Director

Application Contact

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