Membership Application

Thank you for your interest in AGN Membership. Please take a moment to complete the application below. You will be asked to provide a “primary contact” (often the director of annual giving) for your account as well as a list of “authorized users”. You may assign as many authorized users as you would like as long as they are currently employed at your organization.

Once your application has been processed, a welcome email and invoice will be sent to the account’s primary contact. Authorized users will receive separate emails with a membership code and instructions for how to access the benefits. If you have any questions or need assistance at any point, please contact us [email protected] or 888.407.5064

Institution Name (as it should appear in AGN Member Directory)*
Mailing Address*
Mailing Address 2
City
State/Province/Region
Zip/Postal Code
Country
Primary Contact for Your Account (often the Director of Annual Giving)
Name*
First Last
Title*
Email*
Phone*
Head of Organization's Annual Giving Program (If different from above)
Name
First Last
Title
Email
Phone
Add Authorized Users to Your Institution's Account
Although membership applies to your entire institution, only staff who are registered as “authorized users” have permission to access member benefits.
Please add your authorized users' names, titles, and email addresses in the fields below.
First Name Last Name Title Email
If you prefer, you may upload a file with your authorized users’ names, titles, and email addresses here
Max. file size: 50 MB.
Your Name:*
First Last
How did you hear about AGN Memberships? (Select one)
Other (please be specific):
Please let us know how you heard about AGN Membership.
Complete your registration
- Please click here
By checking this box, I agree to the Terms of Use and Service and Privacy Policy listed here.

First Name	Last Name	Title	Email

Membership Application

Primary Contact for Your Account (often the Director of Annual Giving)

Head of Organization's Annual Giving Program (If different from above)

Add Authorized Users to Your Institution's Account