(Please complete ONE FOR EACH PROGRAM within your organization.) Program Name: Physical Street Address (of program):. City: :___________Zip code:______.A Nonprofit Membership Form Template is a form template designed to streamline the membership process for nonprofit organizations. Access the most current funding forms and nonprofit resources through United Way of Palm Beach County's Community Impact department. Cost, time, and paperwork required to start a nonprofit. Learn how to start a nonprofit in Florida with our free step-by-step guide. Gather all information required to complete the form. Contributions benefit NAMI PBC, a 501c (3) not for profit tax exemption organization. Tax ID No. 59-2301320. To apply for membership, fill out the online membership application here.