New Donee Registration

PLEASE REVIEW AND ACCEPT THE DONEE REGISTRATION AGREEMENT

NEW DONEE REGISTRATION AGREEMENT

I have read and accept the agreement.

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PLEASE FILL OUT YOUR ORGANIZATION PROFILE

Organization Name

Website

Department/Division

P.O.Box

Street Address

City

State

Zip

Phone

Fax

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PLEASE FILL OUT YOUR AUTHORIZED INDIVIDUAL PROFILE

First Name

Last Name

Title

Department/Division

Phone

Fax

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PLEASE FILL OUT YOUR DONEE PROFILE

Organization Type

Description of Program/Services/Facilities

Number of People Served in the Community

Sources of Funding

Tax Supported

Grant

Contibutions

Other

Sales Tax Exemption

Other Licence

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PLEASE UPLOAD ATTACHMENTS FOR YOUR DONEE PROFILE

UPLOAD ATTACHMENT

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UPLOADED ATTACHMENTS
Donee Registration Form Type: Donee Attachments Exp.Date: 01/01/2021 Attachment description goes here	Edit	Delete
Eligibility Licence Form Type: Eligibility Exp.Date: 01/01/2021 Licence description goes here	Edit	Delete

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PLEASE REVIEW AND SUBMIT YOUR REGISTRATION

NEW DONEE REGISTRATION

ORGANIZATION PROFILE

DONEE PROFILE

AUTHORIZED REPRESENTATIVES

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SUBMIT REGISTRATION

THANK YOU FOR SUBMITTING YOUR REGISTRATION.
AN EMAIL CONTAINING LOGIN INSTRUCTIONS WAS SENT TO YOUR AUTHORIZED REPRESENTATIVE.
YOU WILL BE ABLE TO LOGIN ONCE YOUR REGISTRATION IS APPROVED.