Charitable Giving – Non-Profit Nomination Form

Criteria:

Nominated organizations must be an IRS registered 501(c)3 with a Federal Tax ID Number
Donation may be split between up to two eligible non-profit organizations
While organizations may have a national presence, donations should be designated to the local area chapter or entity

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Please let us know the organization's name.

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Organization Address

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Organization Phone Number

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Organization Website

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Organization Tax ID Number

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Please let us know your message.

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Name of Nominating Group Lead

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Nominating Group

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