Charity request

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Manage Your Web Based Business... 503-705-5661

Thank you for your interest in becoming a supported charity at our site. Please fill out the form information below so we can evaluate your request.

Affiliate name:

Short name:

Password:

Mission statement:

Charity description:

Contact name:

Phone:

Address:

Address2:

City:

State/Province:

Zip/postal code:

Paypal email:

URL:

TaxID:

Friendly url name:

https://ez-ms.com/charity-