Charity Nomination Form
As a member in good standing of the Greater Nashua Area Chapter, I nominate the following nonprofit organization to be considered for the group’s next donation.
Organization Name:
Organization Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization Phone:
Please enter a valid phone number.
Organization Contact:
First Name
Last Name
Organization Tax-ID Number:
Mission/Purpose of the Organization:
Annual Budget and Other Financial Information:
Services Area and Whom the Organization Serves:
Specific Details on How Our Donation Would Be Used:
My Relationship to the Organization:
Nominating Member Name:
First Name
Last Name
Contact Number:
Please enter a valid phone number.
Contact Email:
example@example.com
Signature
Today's Date:
-
Month
-
Day
Year
Date
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Should be Empty: