Preferred Charity Affiliate

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Charity Name(*)

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Charity Chapter e.g. Los Angeles

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Charity Contact Person(*)

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Charity Tax ID #

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Address(*)

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City(*)

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State

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Zip(*)

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Primary Phone(*)

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Alternate Phone

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Email Address(*)

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I understand that a member of Cars2Charities will contact me by phone or email to formalize a Service Agreement.Please confirm

Yes I will be able to provide a copy of our 501c3 tax letter and Federal Tax ID number. Please confirm

Our nonprofit organization is currently registered with the Attorney General/ Secretary of State.Invalid Input

Please enter the code to verify(*)

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