Become a PICC Member! | Pennsylvania Immigration and Citizenship Coalition PowerBase

PICC seeks to establish mutually beneficial and transparent relationships with member organizations. For-profit organizations may not be members of PICC but are invited to be PICC supporters. Elected officials and government representatives may participate in PICC activities and taskforces as guests; membership and Board participation will be evaluated on a case-by-case basis. Partisan organizations may not be members of PICC.

Criteria and Process for Organizational Membership

Agree with and support PICC’s Mission and Values
Schedule an interview with PICC’s Executive Director
Sign and return this membership application to PICC
Pay annual dues based on a sliding-scale according to size of organization’s operating budget

Organizational Membership Signup

Please select a membership option based on your organization's operating budget.

Membership Type *

Organizational Membership- Budget Under $50K - $ 50.00

Organizational Membership- Budget $50K-$150K - $ 100.00

Organizational Membership- Budget $150K-$500K - $ 150.00

Organizational Membership- Budget $500K-$1 million - $ 200.00

Organizational Membership- Budget $1-$5 millon - $ 300.00

Organizational Membership- Budget $5-$10 million - $ 500.00

Organizational Membership- Budget Over $10 million - $ 1,000.00

Our Organization Cannot Afford Dues at this time - $ 0.00

Total Amount

Membership Information

Organization Name *

Phone (Main)

Email (Main) *

Mailing Address *

City *

State/Province *

Postal Code *

Type of Organization

Primary Contact Person

First Name *

Last Name *

Job Title

Phone (Primary) *

Email (Primary) *

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Advocacy Organization	Community-Based Organization	Faith Based Organization
Government Agency	Grassroots Organization	Labor Organization
Legal Service Provider	Media Organization	Social Service Agency