Name of your organization
EIN (Employer ID Number)
Your organization's URL:
What is the closest Zipcar city that your organization serves?
Contact's first name
Contact's last name
State / Province / Region
Zip / Postal Code
tell us about your organization
1. Does your organization currently have a zipcar account?
If so, can you please provide a Zipcard number of a member on the account:
2. What is the focus of your cause?
Access to Healthcare
3. Please provide a brief description of your organization (please include your nonprofit’s mission, the # of years in operation, number of employees and, if applicable, the estimated number of people that you serve)
4. How can Zipcars further your nonprofit’s mission? (please include how the cars would be used)
5. In a given month, how many hours of free driving do you anticipate your nonprofit needing? (please include when you would anticipate the highest usage, e.g. M-F or weekend)
6. How is the impact of your work measured? (e.g. # of meals, # of patients treated)
7. Can Zipcar’s community of members and employees support your organization through volunteering?
8. How can Zipcar's community help your organization through volunteerism?
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