Round Up for Change
Use this form to nominate your organization for Berkshire Co-op Market's "Round Up for Change". The deadline for nominations is September 20, 2019 at 5pm.
What is the official name of your organization? *
Your answer
What is the mailing address of your organization? *
Your answer
Who is the preferred contact? *
Your answer
What is the preferred contact's email address?
Your answer
What is the preferred contact's phone number?
Your answer
Is your organization a 501(c)(3)? *
If so, what is your organization's tax identification number?
Your answer
In 100 words or less, please give a pitch for why your organization should be a recipient of "Round Up for Change". *
Your answer
What is your organization's facebook page web address? (if applicable)
Your answer
What is your organization's instagram account name? (if applicable)
Your answer
What is your organization's twitter handle? (if applicable)
Your answer
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