Birdies For Charity
THE PLAYERS

Please complete the form below and click 'Submit' when you are done.

Name of Organization

Organization State

Federal Tax ID (EIN)

Operating Budget for Last Fiscal Year

Street Address

City

State

Zip Code

Check here if mailing address is different from Organization Address (If selected to receive a grant, this is the address where the check will be mailed.)

Mailing Address

Mailing City

Mailing State

Mailing Zip Code

Counties Served
Use ctrl + click to select multiple counties

Contact Name

Contact Phone

Contact Email

ADDITIONAL INFORMATION

In addition to providing the information in this form, please include with your request the following attachments. Failure to include the listed attchments will result in your application being declined and having to restart this process.

Proof of the organization’s 501(c)(3) status (IRS Determination Letter)
Most recent IRS form 990
Most recent W9

Please CLICK HERE to see a sample of the IRS Determination letter that needs to be uploaded along with this registration.

To upload a file, Choose File, wait for file name to appear in line below, then select Upload File. The file name should then appear in the Uploaded Files list.

Upload Documentation

Uploaded Files:

By signing below, I consent to the Terms and Conditions of the Agreement above.

Signature

Date

(*) indicates required field

Status:

Date of Decision:

Birdies For CharityTHE PLAYERS

ADDITIONAL INFORMATION

Birdies For Charity
THE PLAYERS