HEROSCARDww Team

Charity Application

Applicant Info General Info Logo Categories Complete
Create User Name, Password
Username (Email):    
Enter Password :  
Confirm Password :    
Contact Information
Contact First Name:  
Contact Last Name:  
Contact Cell Phone:
Contact Zip:
Organization Information:
Non Profit Name (Organization)  
Abbreviated Name:
Website URL
Address:  
Select Country of Your Charity:  
State:  
City:  
Zip:  
Email Address:  
Phone:  
EIN:  
NPO Category:  
Is Your Organization a 501 c3?
State of Incorporation  
Registered to Solicit Charitable Contributions in:









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