This September Jackie Mack will be giving away a commission check from a home sale to a select number of Evanston non-profit.  If your organization would like to be considered for the program, please fill out the form below.

* 1. Non-Profit Name:

* 2. Do you serve the Evanston Community?

* 3. What year did your organization form?

* 4. Does your organization have 501c3 status?

* 5. How large is your organization?

* 6. What percentage of donations to your organization go towards non-administrative services?

* 7. Describe your organization's services:

* 8. Contact Person:

* 9. Contact Email:

* 10. Contact Phone Number:

* 11. Non-profit Website:

* 12. Who referred you?

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