100 Women Who Care Nomination Form
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Nonprofit name *
Nonprofit address *
Nonprofit website *
Tax ID Number
Primary Contact Name and Title *
Primary Contact phone number *
Primary Contact email *
Please provide information about your nonprofit, including a mission statement, population served, other funding sources, and any other information *
Name of Nominating Member *
100 Women Who Care Santa Cruz requires nonprofits to have 501 (c) 3 status. Please check here to confirm that the nonprofit has this status *
Check below to confirm that your organization is aware that  if chosen, it will be required to use the donations exclusively for Santa Cruz County Residents.   *
100 Women Who Care Santa Cruz promises its members that they will not be solicited.  Please check here to confirm that donor information will not be added to mailing or solicitation lists in the future. *
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