HousingWorksRI

Organizational Member Information

Please choose or review your username and password

Username*:
Password*:
Confirm Password*:

Organization Information

Organization*:

Address*:

Address 2:

City*:

State*:

Zip Code*:

Phone*:

Phone 2:

Website:

Fax:

Organization Publications:

	Does your organization have an employee newsletter?
	Employee Newsletter Name:
	Employee Newsletter Distribution:

	Does your organization have an e-newsletter?
	E-Newsletter Name:
	E-Newsletter Distribution:

	Does your organization have a print newsletter?
	Print Newsletter Name:
	Print Newsletter Distribution:

	Who is the best person to contact about your organization's electronic and print communications?
	Publication Contact First Name:
	Publication Contact Last Name:
	Publication Contact Title:
	Publication Contact Phone:
	Publication Contact Email:

Organization Description

Organization Description*:

Region/Service Area:

All of Rhode Island

Selected Towns in Rhode Island

(Bristol County)
Barrington Bristol	Warren

(Kent County)
Coventry East Greenwich	Warwick West Greenwich West Warwick

(Newport County)
Jamestown Little Compton Middletown	Newport Portsmouth Tiverton

(Providence County)
Burrillville Central Falls Cranston Cumberland East Providence Foster Glocester Johnston	Lincoln North Providence North Smithfield Pawtucket Providence Scituate Smithfield Woonsocket

(Washington County)
Charlestown Exeter Hopkinton Narragansett	New Shoreham North Kingstown Richmond South Kingstown Westerly

Organization Type:

Organizational Areas of Interest or Concern:

CEO/Executive Director Information
Prefix:
First Name*:
Middle Initial:
Last Name*:
Suffix:

Work Address:

Home Address:

Company:
Title*:
Address*:
Address 2:
City*:
State*:
Zip*:
Phone*:
Fax:
Cellphone:
Work email*:
Website:

Address:
Address 2:
City:
State:
Zip:
Phone:
Fax:
Cellphone:
Home email:

Make CEO/Executive Director the Profile Manager (What is this?)

Preferred email address:

Please put this contact on the HWRI mailing list?

Preferred mailing address:

Select the E-newsletters to send to this contact:

General HousingWorks RI information (HWRI news)

Announcements and events in the following communities:

Profile Manager Information

You have indicated the CEO will be the profile manager.

Prefix:
First Name*:
Middle Initial:
Last Name*:
Suffix: