$150 for 150 Charities
Submission Form
(1) Charity Name
*
(2) Logo
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(3) Mission
20-25 word statement of the charity’s mission
(4) What does your organization do for the community?
50-70 word brief overview
(5) Donation web link
(6) Supporting (select all that apply)
Affordable Housing
Animal Welfare
Arts & Culture
Children/Youth Support Services
Civic & Community Focus
Disability & Mental Health
Disaster Response
Economic Development
Education
Emergency Personnel
Environment
Family & Health
Healthy Lifestyles/Sports & Recreation
Homelessness/Food Support
Medical Health
Religious
Senior Citizens
Small Business
Social Services
Veterans/Military
(7) Service Area (Town or Counties Served)
Towns or Counties Served
Name of person submitting the form.
*
First Name
Last Name
Email
*
example@example.com
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