Apply To Be A Beneficiary

* = Required

Name of organization/charity *

Street Address *

City *

State *

Zip/Postal Code *

URL *

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Executive Director/CEO’s Name *

E-mail *

Phone *

Mission Statement *

Past/current fundraising involvement in sports *

Why are you interested in being a beneficiary
of Sports Tackles Cancer? *

How did you hear about Sports Tackles Cancer? *

Other:

Referred By?

First name *

Last name *

Job Title *

E-mail *

Phone *

	* I understand that the information on this form will be shared with NSMN staff and Board members.
	* I am authorized to submit this information on behalf of my organization/charity.
	* I understand that this is an application form and that by submitting this application form to Sports Tackles Cancer, I am not entering into any agreement or partnership.

Thank you for contacting Sports Tackles Cancer.
We will be in touch with you shortly.

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Founded in 1998, the National Sports Marketing Network (NSMN) is the exclusive trade organization for the sports business industry in the United States.