Become a Member of the Coalition! | Connecticut Coalition to End Homelessness

Thank you for your interest in becoming a member of the Connecticut Coalition To End Homelessness. To become a member, please fill out the form below and click submit. You will be taken to a Paypal page to pay the membership dues. Membership dues are currently set at $225.

This is an annual fee.

Become a Member

Coalition membership is open to any agency, service provider, individual, student, faith-based organization, or business committed to ending homelessness in Connecticut.

Name/Organization Name*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Fax Number
Phone
Website
Primary Contact (Voting Member)
Executive Director Name (if different than primary contact)
Additional Organizational Representatives
Non-profit and supporting organizations can indicate two additional contacts who will receive updates and information from the Coalition. We encourage all members and representatives to share information regarding upcoming events and advocacy efforts with anyone interested.
Name
First Last
Job Title
Phone
Email
Name
First Last
Job Title
Phone
Email
Membership Fees
To pay the annual $225 membership fee please use the paypal link below.

Become a Member

Additional Organizational Representatives

Membership Fees