New Charity Signup

If your organization is a 501(C)(3), please use this form to sign up for Birdies for Charity. IF YOU PARTICIPATED LAST YEAR YOU DO NOT NEED TO SIGN UP AGAIN.

Please provide the following information:

First name Charity Street address Address (cont.) City State Zip Code Contact Preference Email Mail Either

Last name Work Phone Home Phone Fax E-mail Questions/Comments Sign my charity up for Birdies. New Contact

Download Charity Sign-up Brochure and Form

501(C)(3) DOCUMENTATION IS REQUIRED FOR ALL SIGN UPS.
PLEASE FAX YOUR 501(C)(3) TO 309-762-4668, OR TO
BIRDIES FOR CHARITY, 15623 COALTOWN RD, EAST MOLINE, IL 61244.

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