Contra Costa Realtors In Motion
 
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CCRIM Charities  
Charity Application
If you would like to submit your organization or agency for consideration in the donations that we make each year, please complete the simple application below.
Charity Information
Please include your organization's information along with the primary contact. Please include the donation amount you are requesting..

required information
Organization's Name:
Contact Person: Contact's Title:
Business Address:
City: State:        Zip Code:
   
Office Phone: Fax Number:
Email Address: Amount Requested:
 
Describe Your Organization...
Please provide us with a general overview of your organization and works.
Board of Directors
In the field below, please list each member of your Board of Directors as
well as their appropriate titles - one name and title per line please.
Funding Sources
In the field below, please list your funding sources and approximate amounts per source for the previous two year. One per line please.
Tax Information
Please provide us with your tax id and status below. If you do not have this information immediately available, you must provide prior to approval.
Taxpayer ID Number (TIN): Do You Have 501(c)(3) status:
 Yes      No   
 
To submit your charity application, click the button below. Applications
will be reviewed by the CCRIM Board as scheduled.
All information collected is strictly confidential and will not be shared with third parties. To learn more about our organization's privacy policy and how we use your information, click here.
 
 
   
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