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Nonprofit Organization Submission Form
Thank you for your interest in FireAid. If you are a 501c3 serving victims of the LA Wildfires and would like to be considered for Round 3 funding, please complete the form below.
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Organization Name:
*
Your answer
Organization Description -
Briefly describe how your nonprofit is currently working to provide LA wildfire relief:
*
Your answer
Organization EIN Number:
*
Your answer
Geographical Area Served/Serving:
(ex: Pasadena, CA)
Your answer
Estimate of People Served in Fire Areas:
Your answer
Contact Information
Primary Contact Name
*
Your answer
Email Address
*
Your answer
Phone Number
Your answer
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