ATNI Membership Application

The Affiliated Tribes of Northwest Indians is dedicated to promoting tribal self-determination and sovereignty. Your support helps ATNI strengthen its current programs and expand its services to Member Tribes and Native Peoples. Members receive mailings and alerts

Tribal Memberships:

A Tribal Resolution authorizing the voting delegate and alternate(s), if other than the Tribal Chairman, must accompany annual payment, due at Annual Conference in September every year.

  1. Tribal Members enrolled        0-500:         5 votes,     $  200
  2. Tribal Members enrolled    501-1000:     10 votes,     $  400
  3. Tribal Members enrolled  1001-2000:     15 votes,     $1,000
  4. Tribal Members enrolled  2001-3000:     20 votes,     $1,500
  5. Tribal Members enrolled  3001- over:     25 votes,     $2,000

Individual/Organizational:

  1. Individual:                                      $35
  2. Indivdual - Lifetime                        $200
  3. Tribal Organization:                        $100
  4. Non Profiit Organization:                $300
  5. Corporate Membership:                  $500

NAME_________________________________________________________________

ADDRESS______________________________________________________________

CITY__________________________________________________________________

STATE_____________________________________ ZIP ________________________

PHONE________________________________

FAX___________________________________

E-MAIL_________________________________________________

TOTAL AMOUNT ENCLOSED $________________________
 
 

Affiliated Tribes of Northwest Indians

1827 NE 44th Ave., Suite 130
Portland, Oregon 97213
503/249-5770 Fax 503/249-5773
Website: http://www.atnitribes.org

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