Application Submission

*Required
Name of Organization*	First Name*	Last Name*
Address*	Suite/Floor/etc.
City*	State*	Zip Code*
	Select a State ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, D.C. WEST VIRGINIA WISCONSIN WYOMING
Phone #*	E-mail Address*	Is organization listed as 501(c)3?
		Yes No
Description of organization (mission, year founded, service area, etc.)*
Please briefly outline your marketing budget for 2011?*
Please provide us with a detailed description of the project you'd like us to create for you. Some examples of projects include: logos, letterhead packages, outdoor boards, brochures, posters, mailers, ads, websites, etc.*
What is the goal/objective for this project? (community awareness of your cause, fundraising, recruiting volunteers/donors, etc.)*
Do you have any existing arrangements for ad space, website hosting/domain services, etc.*
If your non-profit is chosen, we may request more in depth information from you.