Registration for Fundraising Groups and Organizations

Organization Information

Organization Name*

Specific

Site Physical Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Site Phone*

Name*

First Last

Organization/Owner Mail Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Name*

First Last

Phone*

Email*

Activities Utilized*

City Code*

Organization Website*

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Mail Preference*

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Name

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