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:
*
== SELECT ==
Less than 30
30-50
51-100
More than 100
Mailing Address:
*
City:
*
State:
*
== SELECT ==
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisianna
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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?
*
== SELECT ==
5
6-10
11-15
16-20
All
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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