Non-Profit Registration Form

Non-Profit Registration Form

Organization:

Name_________________________________________________

Contact:

Person________________________________________________

Title__________________________________________________

Tax Exemption:

Number________________________________________________

Business:

Address________________________________________________

 City_________________________________State_____________

Zip Code_________________

Phone__________________________________________________

Fax_____________________________________________________

Email___________________________________________________

Web URL:

Http://___________________________________________________

_________________________________________________________

Checks to be made payable 

to:________________________________________________________

How do you plan on promoting "EdenScapes1"?

__Word of mouth__Link on your website__Newsletter Distribution__Social Network

                     (Facebook, Twitter, etc.)

__Visual signage__E-mail__Directory placement

I certify that all the information provided is correct and that I am a designated representative of this non-profit organization.

Printed

Name_________________________________________________________________

Signature:_____________________________________________________________

Date:_______________________________________________________________

Please let us know if you have any questions,

Sincerely,

Your EdenScapes1 team

rain.city@wavecable.com

360.417.0464 phone

360.417.0683 fax