NOMINATE Name of Organization (make checks payable to)(required) Mailing Address(required) EIN/Tax ID #(required) Contact Name/Title(required) Phone(required) Email(required) Website Approximate year formed(required) Describe the organization’s services provided to residents of Fulton, Montgomery or Schoharie Counties(required) What is the approximate annual budget?(required) Sources of Income(required) Approximately what percentage of income goes to administrative costs vs direct services(required) Describe how the funds received would be used(required) Name of Nominating Member(required) Member Email(required) Member Phone(required) Date(required) Submit Δ Share this:TwitterFacebookLike this:Like Loading...
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