Partnership Application
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Thanks for your interest in partnering with Challenge America!

What's your first name? *

 
What's your last name, {{answer_23166794}}?

 
{{answer_23166794}}, are you applying on behalf of an existing non-profit organization?

     
 
And what is your organization's name?

 
And what's your organization's postal address?

 
Your organization's telephone number?

We'll use this to call you in the wee hours of the morning (just kidding).
 
And what is your organization's URL? *

 
And what is your organization's mission? *

 
Is your organization certified as tax exempt by the IRS? *

     
 
Why are you interested in partnering with Challenge America?


 
Thank you for your submission! We will review your application and contact you soon.

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