Kingman Pickleball Club Charity Application
The application deadline is May 31, 2025.
Today's Date
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Month
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Day
Year
Date
Contact Name
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First Name
Last Name
Organization Name
*
Please enter the name of your organization.
Contact Phone Number
*
Please enter a valid phone number.
Contact Email
*
example@example.com
Organization Address
*
Street Address
Street Address Line 2
City
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Zip Code
Please enter your organization's web address/URL (If Applicable)
Is your organization located in Kingman, Arizona?
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Yes
No
Is your organization a 501 (c3) non-profit agency?
*
Yes
No
If yes, please indicate your tax exempt status (e.g. 501 (c)3)
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Tax ID Number (If Applicable)
What is the mission or purpose of your organization?
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0/100
Amount Requested
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Please describe your financial need.
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0/100
Who will our donation serve?
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0/100
How will our donation be used?
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0/100
How will our donation impact the community?
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0/100
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