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100 Women Who Care - Chicago Chapter
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Charity PRE-QUALIFicATION Form
Please submit this form at least one week prior to the meeting so that we can confirm eligibility of the organization.
(Items with * ARE REQUIRED)
*
Indicates required field
Nominating Member's Name
*
First
Last
Nominating Member's Email Address
*
Name of Organization you would like to nominate if they pass our vetting process
*
Name of person at Organization we can contact
*
Contact person's email or phone number
*
Address of Organization
*
Line 1
Line 2
City
State
Zip Code
Country
Web Address of the Organization (if available)
*
Is the Organization a registered 501(c)(3) (IRS Certified Tax Free Status) charitable Organization?
*
YES
NO
Submit