Change For Charity Application Form (Optional) Download Form PDF Organization Name: * Primary Contact Name: * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone: (###) ### #### Cell: (###) ### #### Fax: (###) ### #### Email * Website http:// Please answer the following: (use additional paper if necessary and include any brochures/literature) What is the organization’s primary source of funding? * What is the number of beneficiaries served? * In which area do the majority of beneficiaries reside? * 501(c)(3) status? * Documentation is required with application. Please email to: kwechsler@trademarkproperty.com or FAX to 361-993-5631. Describe the mission or purpose of the organization: * Describe the charity’s programs and service and how the mission and goals are implemented: * Thank you!
