Non-Profit Beneficiary Application and Information Form

Your Name: (required)

Your Email: (required)

Non Profit Name: (required)

Mission Statement:

501(c)(3) Status: (required)

Website:

Website advertised on event invitations?
 Yes No

Best Contact for Nonprofit: (required)
Phone #

Names of Nonprofit Volunteers for the Event: (required)
Phone #
Phone #

What will the funds raised from a Social Charity Club event go toward? (required)

How will your nonprofit help spread the word about the upcoming event (advertising,
resources, ect.)? (required)