MemberLeap

NAME Chapter Request for MemberLeap Account W/PAYMENTS

As a chapter of NAME, you are eligible to register for a MemberLeap account.

First Name *

Last Name *

Email *

Chapter Name *

Chapter Address *

Chapter City *

Chapter State

Chapter Zip Code *

Chapter Phone Number *

Chapter Email *

Domain/Website Address URL (http://) and Web Hosting Information

Chapter Current Domain/Website URL Address (http://)

Do you have other website URL addresses being automatically redirected to your Current Website URL Address above (including domain.com being redirected to domain.org)?

Please tell us who your current website hosting account is with (where the files are located for your current website, so we can make a backup copy of the files for you).

Username

Password

Domain Name Registration Access - When we implement your new site, we will need the registration username and password to update your domain to point to our servers. If you don’t know who this is, we can help you track it down.

Name of the Registrar (GoDaddy, Dotster, etc.)

Username

Password

Social Media: We can include icons in your header or footer, so please provide links to your social media pages.

Chapter Facebook Link

Chapter Twitter Link

Chapter LinkedIn Link

Your Chapter has three templates to choose from - view template options.

Which template does your Chapter want to use? *
Choose 1

Email Account Information

How many domain-based email accounts (i.e. name@domain.org) are currently set up for your organization?

Please list all domain-based email accounts (only if we will be moving or hosting them).

How many email forwards are there from these domain-based email accounts? These forwards will automatically redirect name@domain.org to another email address (i.e. name@gmail.com)

Each Chapter will have access to the following optional modules/features within their own MemberLeap account:

Broadcast Email Messages
Blog
Calendar of Events
Contact Form
Elections
Event Registration
Message Board/Forums
Member Login
Navigation link - 'About NAME' will automatically redirect to nameorg.org
News Feed
New Member Registration - 'Join NAME' will automatically redirect to nameorg.org
Newsletter
Private Member Directory
Website Content Manager

While the national NAME will continue accepting online payments for new member dues and renewal dues for your Chapter, your Chapter's MemberLeap account does not include an online payment option.

If your Chapter want to accept online payments for event registration fees on their own website, you have the option to purchase a Payment Processing Package. You will need your own credit card merchant account or PayPal account, and your Chapter will be responsible for the initial setup cost of integrating with a payment gateway and ongoing monthly fees.

$125 for supported gateway - OR - $375 for non-supported gateways
$15 per month fee for support and maintenance of the Event Registration module

Without a Payment Processing Package, your Chapter can still setup events in your MemberLeap account, and your members can register for these events. However, they will not be able to pay for any event registration fees online. These fees will need to be mailed in or collected at the door.

If you purchase the Payment Processing Package above, you can also opt to accept online donations and/or store purchases through your website for additional initial setup costs and ongoing monthly fees, based on the modules selected:

$125 initial setup cost for Donations module with no monthly fee
$250 initial setup cost for Store + $5 per month fee

Is your chapter interested in purchasing a Payment Processing Package?

Thank you for partnering with MemberLeap for your Chapter's membership needs.