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Nonprofit Contact Information Form
Organization Legal Name
*
Organization DBA Name
Organization Contact Information
Organization Phone
*
Organization Email
Verify Email
Organization Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Executive Director Name
First Name
Last Name
Executive Director Email
Verify Email
Executive Director Phone
Two other members of your organization to receive IMPACT 100 emails
First email recipient
Name
First Name
Last Name
Position in the Organization
Email
Verify Email
Phone
Second email recipient
Name
First Name
Last Name
Position in the Organization
Email
Verify Email
Phone