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Membership Registration /Renewal Form
Please Submit Your Organizations Annual Impact Report
First name
(Required)
Last name
(Required)
Phone
(Required)
Email
(Required)
Company name
(Required)
Position
(Required)
How many pounds of food did your organization distribute last year?
(Required)
How many pounds of protein?
(Required)
How many pound of non-perishable?
(Required)
How many pounds of produce?
(Required)
How many households did your organization serve last year?
(Required)
How many senior citizens did your organization serve last year?
(Required)
How many adults did your organization serve last year?
(Required)
How many children did your organization serve last year?
(Required)
Upload most recent 990 and FL Incorporation
(Required)
FL Cert. Incorporation
Upload File
990 IRS form
Upload File
Signature
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Date
Month
Month
Day
Year
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