Please complete this form and either submit it electronically or print it out and mail or fax it to the Coalition to join. Don't forget to mail in your membership fee to complete the process. Click here for fee structure.


Membership Form

Name (required):
Title:
Organization:
Street Address:
City:
State:
Zip:
Telephone:
 Fax:
Email address (required):
Web Site URL:
Select Membership Type: (required) Choose One

Check all that apply:

RPC: CHDO: NPC: CAP:NWO: CDFI:
Local Gov:County Gov:Fed Gov: State Gov:
Financial Services: Other Non Profit: Private Consultant:
For Profit Developer:Other:
Describe the services provided by your organization.

Submit the form or print and mail to:
Blair Sabistain
NYS Rural Housing Coalition, Inc.
879 Madison Avenue, 2nd Fl.
Albany, NY 12208
Phone: 518-458-8696
Fax: (518) 458-8896

Send your comments, questions and suggestions the blair@ruralhousing.org.