First Name*Last Name*Professional Title*Organization*Organization Website (please start with http://)Affiliation*General MemberFriend of LANONo AffiliationNumber of Board Members*Email Address*City*Phone Area Code*Phone Number*Consulting Service Desired* Governance Assessment & Planning Strategic Planning Fund Development Human Resources Nonprofit Executive Candidate Search Nonprofit Start-Up Financial Management Other Information*Time Fram for Service* Immediately Within One Month Within One Quarter Within Six Months Undetermined Consulting Funding Availability* In Budget Anticipated Requested Through Grant or Donation No Funding Available Organization Name:
