Complete Interest Form
Organization Name
*
Agency Contact Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
-
Area Code
Phone Number
Alternate Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
Please answer YES or NO to each of the following questions:
*
Rows
YES
NO
Is your organization a registered charity, or a nonprofit that provides services to low-income individuals and families?
Are you a registered 501 (c)(3) in good standing with your determination letter from the IRS?
Do you have your Tax ID/EIN number?
Are you interested in our diaper program?
Are you interested in our period program?
Are you interested in our hunger relief efforts?
Are you interested in our youth college tour program?
Are you able to store supplies in a clean, and adequate storage space free from insects?
Are you the authorized representative submitting this interest form?
What services or programs does your organization offers?
*
Is there anything else you would like us to know about your organization and your interest in partnering with Safe Future Foundation?
*
Submit Interest Form
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