Philips Non-Profit Organization Questionnaire

Sesame Street Live Elmos Green Thumb
Sep. 17 - Sep. 20

NON-PROFIT ORGANIZATION APPLICATION

* - denotes a required field

Organization Name: *

501(c)(3) Tax ID:

If you do not have your 501(c)(3) number,
please check this box

I understand that my organization will be required to
provide a valid 501 (c) 3 Tax Exempt Number prior to our
being permitted to work shifts for the arena.

Active Members: *

Mailing Address: *

City: *

State: *

Zip: *

Primary Contacts: *
(At least one is required)

	Name	Email	Phone
Contact 1:
Contact 2:
Contact 3:

Orgaization URL:

Number of Events to which you could commit to work each month? *

Please enter your mission statement, or a brief description of your organization’s purpose: *

Please describe how your organization would use the earned funds: *


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