Rescue / Non-profit Application Organization Information Name of Organization EIN/ Federal Tax ID# Website Phone Number Facebook Instagram Twitter Check here if you are a federally designated 501 (c)3 or 501 (c)7 organization. First Name Last Name Title Email Mailing Address Street Address 1 Street Address 2 City State Zip Physical Address Check here if same as mailing address Street Address 1 Street Address 2 City State Zip
