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