MAX Community Giving Request Question Title * Organization questions Organization Name Organization Representative's Name Organization Representative's Email Organization'S Postal Address Question Title * Is your organization a 501(c)(3) non-profit organization? Yes No Question Title * Does your organization make an impact in a county served by MAX? Yes No Question Title * Please list the counties in Alabama and/or Georgia that your organization serves: Question Title * When do you need a response? Date / Time Date Next
