Better Neighbor Fund Nomination

Please fill out the fields in the form below. One of our representatives will contact you within one business day to complete the process.

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Charity Information

  • OKName of Charitable Organization is required
  • OKOrganization Contact Person is required
  • OKContact Person Email is required
  • Contact Person Telephone

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    OKContact Person Telephone is required
  • OKOrganization's Website URL is required
  • OKURL for Organization's Logo is required
  • OK501C3 Number is required
  • OKAnnual Operating Budget is required

Organization Mailing Address

  • OKStreet is required
  • OKCity is required
  • OKState is required
  • OKZip is required

Nominator

  • OKName of Person Nominating is required
  • OKEmail of Person Nominating is required

Nomination

    Description of organization and its mission. (25 words or less)

  • OK is required
  • Name of project being submitted for Better Neighbor Fund grant. (10 words or less)

  • OK is required
  • Describe project being submitted for Better Neighbor Fund grant. (100 words or less) Include: goal, objective, target audience, time period and how you will measure success

  • OK is required
  • OK is required
  • Town & Country reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, I/we grant full permission to do so.

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