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For questions with the application process, contact
Michelle Burton
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POL New User Registration
First Name
*
Last Name
*
E-mail
*
Telephone
*
Title
*
Organization
*
Short description of organization (35 words or less)
*
Organization Address
*
Organization City, State, Zip
*
EIN#
*
Does your organization have 501(c)(3) status?
*
Yes
No
Attach an electronic copy of your most recent 990 form. If you don't have a 990 please submit your most current income expense report.
*
Attach an electronic copy of your your federal tax determination letter.
*
Contact Us
For questions with the application process, contact
Michelle Burton
.