Maine Philanthropy Center

Building Connections for Maine Grantmakers

Funder Membership Form

We need to collect some information to get your account set up.  Please complete the following form as best you can - we can fill in gaps later if needed.  Once your membership form has been submitted, we will be in touch soon to follow up using the contact information you provide.   If you have any questions about this form or about membership, please contact Jeannette Andre at or 207-780-5029.

Primary Contact

Who will be the primary contact for your membership? Usually an executive director.

Organization Detail

The complete name by which your organization conducts business. This will appear in our member listing.
The entry level for funder support for the network and its work is based on current annual grantmaking in Maine.
This will auto-calculate based on your funder type and giving level

Additional Contacts Information

In this section, please provide information on key staff members and trustees that:

  1. Will use the MPC website, OR
  2. Should receive our monthly member E-news, OR
  3. Be listed in the member contact directory accessible only to other funder members


A website user account will automatically be created for anyone with an email provided.  Add up to ten contacts here.  Contact us if you need to add more than ten.

Contact #1
Contact #2