Step 1 of 2
Agreement Date: 09/28/2016
Charity Name * Charity State * Federal Tax ID No. *
(EIN)

use format 99-99999999

Representative First Name * Representative Last Name *
Representative Title * Representative Email *

Rep. Fax Number Rep. Phone Number * Rep. Alt. Number
Street Address 1(No PO Boxes) *
Street Address 2
City * State * Zip *

Terms of Agreement Print



Step 1 of 2

Inactive hide details for IRS Letter:IRS Letter: