Champion for Good Application

Select An Option

Champion for Good $250 Annually + $25.00 One-Time Fee

A Champion for Good is an individual representing themselves and does not replace membership for their organization or business.

This program provides a means for individuals dedicated to the vision and mission of AZ Impact for Good to support and participate in our work.

This does not constitute membership with AZ Impact for Good. A Champion for Good has access to take part in the Annual Day of Advocacy and Policy Council.

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameOrganization Name

Please select a valid membership option and fee item if exist