Get Involved

Benefits | Application

If you would like to get involved with MicroBizNY please fill out this form and e-mail it to us. Or download to print the application.

For more information please call 518-463-5576

Organizational Contact Information
Organization:
Contact Person:
Address:
City:
State:
Zip:
Phone:
Fax:
*required E-Mail:
Web Site

Membership Category
Nonprofit Organizations
(based on Microenterprise Program Budget)
$0 - $499,000: $100
$500,000 - $1 million: $150
$1 million+: $200
OR
  
Associate  
Individual $50
Government Agency $250
University/Educational Institution $250
National Organizations $250
Premier Membership $1,000
Bank/Financial Institution $250
Corporation $250
Foundation $250
Microenterprise Services Provided by Organization
(please check all that apply and provide more detail if you would like to be listed in statewide directory)
Lending       Training       Technical Assistance
Services Provided- (please briefly describe your organization and the type of services you offer)
Target Population Served
Counties Served
Affiliation (check all that apply)
Community Action Agency
Academic Institution
EAP Center
CDFI
Credit Union
BOC Network
SBA Women Business Centers
Small Business Development Center
City/County Agency
Chamber of Commerce
Trickle Up Coordinating Agency
IDA Program
ORR MicroOrganization
Bank/Financial Institution
Other

Will Send Check

Please make checks payable to SENSES, 275 State Street, Albany, New York 12210


   
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