CREDO Donations Program - Nomination Form
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Your Name
*
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Your Email
*
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I am a
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(please check all that apply)
CREDO Mobile Customer
CREDO Long Distance Customer
CREDO Credit Card Customer
Working Assets Credit Card Customer
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Organization Name
*
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Organization Website
*
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Organization Phone Number
*
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Development Contact Name (ideally the Development Director)
*
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Development Contact's Email
*
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Organization Issue Area (please select one)
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Civil Rights
Economic & Social Justice
Environment
Peace & International Freedom
Voting Rights & Civic Participation
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