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Add Your Chapter

This form is intended for adding a local chapter to a national charity already on our website.

In order to earn funds we ask that you help promote the coffee sales in order to earn even more. As a minimum requirement we ask that you create a dedicated page on your website that talks about our coffee program with a link to your own ordering page on our website. We will provide you with text, graphics and a specific link that takes folks to your page; (this bypasses all other charities).

To complete the payment process to your local chapter (club or affiliate), we need to contact your local chapter. Please help by providing the following contact information so we can help them setup the ordering page.

If you would like to add your local non-profit (that is not affiliated with a national cause) , please contact us.


Add Your Chapter Submission Form

Information about you so that we may reference you in our correspondence with your chapter.
FIRST NAME
LAST NAME
EMAIL
PHONE
Information about your non-profit so that we may contact them on your behalf.
NON-PROFIT NAME
(Ex: Susan G Komen Breast
Cancer Foundation)
CHAPTER / AFFILIATE / CLUB NAME
(Ex: Seattle Affiliate)
OFFICER NAME
(Chapter president or officer
in charge of fund-raising)
   
CHAPTER OR OFFICER EMAIL
CHAPTER OR OFFICER ADDRESS
ADDRESS 2
CITY
STATE
ZIP CODE
PHONE
FAX
 
 


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