Skip to main content
You must have JavaScript enabled to use this form.
First Name
Last Name
Job Title
Give a brief (500 words) description of your organization's goals
How will PowerBase fit into achieving those goals
Street Address
When are you ready to start the process of getting PowerBase
- None -
Now
3 - 6 months
More than 6 months
City
Zip Code
State
Will you be doing any of the following things initially
Tracking Events
Tracking Donations
Tracking Membership
Sending mass emails
Work Phone
What other special tracking needs do you have?
Cell Phone
Email
Website
What is your total annual budget?
How many staff (specify Full time and Part time) do you have in your organization
Name of Organization
How many organizers (specify Full time and Part time)
Type of Organization
- None -
501c3 Organization
501c4 Organization
Has Fiscal Sponsor
Other
How long have you been at your current organization?
Do you have a database now
Yes
No
Other legal status
Please describe your current database
Does every organizer have access to a computer for data work
Yes
No
Definition of Members
Does your organization have a membership? How do you define membership - who is a member, who isn't, and how do you know the difference. Are there different member types? Do you have member dues? Are there different levels of dues?
Fundraising
Do you track donations from individuals? Do you want to do this inside PowerBase?
Event turnout
How do you track who attends meetings? What are the different types of events you have?
