in/PACT Donation Program Nonprofit Nomination Form
In/PACT’s mission is to help purpose driven Brands, Retailers, and Financial Institutions to more deeply engage and connect to their customers through community based charitable giving. 

in/PACT and its affiliates manage nonprofit curation, onboarding, and donation distribution for corporate giving programs with clients like Target and Walgreens. The purpose of this form is to initiate further due diligence checks to see if your organization will be a good fit for our programs. If your suggested nonprofit is a good fit, we'll reach out with next steps.

*These services come at no charge to the nonprofits we serve.
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Email *
Your Name *
First and Last
Charity EIN (XX-XXXXXXX) *
Charity must be public 501(c)3. Please enter a 9 digit EIN Code.
Charity Name
 *
Please enter the Charity's Doing Business As (DBA) Name
Charity Mailing Address  Line 1
 *
Street Number and Name, or PO Box and Number
Charity Mailing Address  Line 2
Ste/Unit Number (ie Ste 202)
Charity Mailing Address  Line 3
 *
City, Two letter State abbreviation (ie Albany, NY)
Charity Mailing Address Zip Code 
Charity Contact Email Address
Charity Phone Number  *
Please enter a 10 digit phone number.
Charity Website URL 
 *
Charity Instagram URL
Charity Facebook URL
Charity Twitter URL
Digital Signature *
By typing my first name and last name below, I grant to in/PACT and its affiliates a limited, non-exclusive license to use Charity Intellectual Property (IP) and the Charity website link solely in connection with efforts by in/PACT and its affiliates to raise funds for Donor-advised Fund established by in/PACT clients. in/PACT or its affiliates must obtain prior written approval from Charity of all promotional copy and content before dissemination or publication. in/PACT shall not modify Charity IP in any way. Charity reserves all rights not expressly granted herein.*
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