Affiliate Application

Please submit your application to join Restore America’s Estuaries Affiliate Member Program. Once your application is submitted, RAE will review your submission. After it is approved you will be contacted by email with a dues invoice to complete your application process.

To safeguard the reputation and success of the coastal and estuarine community, Restore America’s Estuaries reserves the right, in its sole discretion, to deny, condition, suspend, or revoke affiliation with RAE of any organization who has been or is currently engaged in any conduct that may bring RAE or the estuarine community into disrepute.

Name of Organization(Required)

Phone Number(Required)

Website(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Contact's Name(Required)

Primary Contact's Email(Required)

Primary Contact's Job Title(Required)

Secondary Contact's Name(Required)

Secondary Contact's Email(Required)

Secondary Contact's Job Title(Required)

Brief description of organization(Required)

Please tell us why you'd like to join RAE as an affiliate member.(Required)

Documentation(Required)

Max. file size: 50 MB.

Please attach a copy of your organization's 501(c)(3) (tax exempt) documentation

Phone

This field is for validation purposes and should be left unchanged.

91101