Community Ca$h Application

Community Cash Application - Stepped

Organization Information
Contact Information
Promotion Details

Organization Information

Please enter your organization information below.

Organization or Group Name *

Please enter your organization or group name above.

Organization or Team Colors *

Please enter your organization or team colors above.

Background Information

Using the space above, please provide a short summary of your organization's mission and the area it serves. Please feel free to attach any supporting documentation that you would like to include. Please Note: Schools do not need to complete this portion.

Address *

Enter your organization's address above.

City *

Enter your organization's city above.

State *

Choose your organization's state from the drop-down menu above.

Zip Code *

Enter your organization's zip code above.

Phone Number

Enter your organization phone number above (format: XXX-XXX-XXXX).

Website

Enter your organization website above.