Fundraising

Tampogo Non-Profit Organization Registration Form

Enroller Information

*-denotes required fields

(must be filled out by authorized representative of Non-Profit Organization)

Non-Profit Organization Information

Organization  Legal Name: *

Organization  Name / DBA:  (if different)

Tax ID:

Geographic Scope: *

# Members / Supporters: *

Contact Information

Name: *

Phone: *

Email: *

Title: *

Fax:

Cell

Adress

Street 1: *

Street 2:

City: *

State: *

Postal Code: *

Country: *

Organization Description: * (Brief Description of Organization including type, purpose, # of members / supporters)

Referred By: *

Name

NP ID#

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Tampogo Home Business

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Click here if Organization qualifies for legal Non-Profit Status (i.e. 501(C) status)

Tampogo Fundraising iRep Directory

Tampogo Fundraising Form

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<1,000    1,000 - 10,000    10,000 - 100,000    100,000+

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