Name *

First Name

Last Name

Phone (Personal) *

(###)

###

####

Phone (business)

(###)

###

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Number of employees at your organization: *

1-10

10-30

30-100

100+

Which of the following best describes you?

Check all that apply

Asian

Black or African-American

Native American or American Indian

Native Hawaiian or Other Pacific Islander

White

Hispanic or Latino

Other

How did you hear about us? *

ATN PA

Friend/colleague/family member

Attended an event

Social Media

Other

Are you interested in volunteering?

Please check the boxes next to the areas you will to volunteer

Research

Event Set Up/Breakdown

Event Planning

Fundraising

Admin Support

Sharing Area of Expertise

Community and Sponsorship Outreach

Blog Writing

Social Media/Marketing

Technical Assistance

Fibershed Agreement *

I am dedicated to embracing the Fibershed values of circularity, sustainable mindset, collaboration, generosity, equity, honesty, empathy, and reverence for all individuals, the environment, and other species.

I agree

Please select the information you wish to be included in our member directory: *

First and Last Name

Headshot

Email address

Job title

Phone number

LinkedIn

Social Media Handle

I do not wish to be included in the member directory