100 Women of Richardson: Non-profit Request to Present Form

Welcome!

Thank you for your interest in being a beneficiary of 100 Women of Richardson! We look forward to working with you!

Mission Statement:

To bring together at least 100 women to contribute financially several times per year to local nonprofits to make an immediate, meaningful and significant impact in Richardson, TX.

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* 1. Your Contact Information

Name

Non-Profit Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Please share your organization's website.

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* 3. Please explain an overview of your organization such as your mission statement and populations served.

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* 4. Please explain your specific need, how the money would be used if awarded and how the gift would impact Richardson residents.

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* 5. ELECTRONIC SIGNATURE of COMMITMENT:

The organization agrees not to use, give or sell the contact information of our members for additional solicitation by them or other organizations.

The organization agrees to accept individual checks made out to their organization and to provide tax documentation to each individual member who donates for tax purposes.