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Charity Name
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Contact Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
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Email
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example@example.com
Your Organization's Purpose
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Upload Proof of your 501c3 status
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Your Organization's Logo
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Why do you serve?
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Which months are major fundraising periods for you?
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How many people do you serve in our region each year?
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What else should we know about your organization?
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