Organization Legal Name

EIN

Website / URL

Address

Address Line 1

Address Line 2

City

State

Zip Code

Year Organization Was Founded

Primary Contact

First

Last

What is your role at the non-profit being applied for?

responsible your the

Contact Email

Contact Phone

Are you authorized to enter into partnership agreements on behalf this organization?

If no, please list the name and title of the person who is authorized

Upload IRS 501(c)(3)Original Determination Letter

Drag & Drop Files, Choose Files to Upload

Please confirm the following

Please confirm the following

Briefly describe your organization’s mission and the communities you serve.

How do you plan to use this coffee partnership to support your mission?

Is your organization faith-based?

What does a successful partnership with Ithmah Coffee look like to you?

How do you plan to promote your coffee fundraiser?

Do you currently have an email list or supporter base?

Who will be responsible for managing this partnership on your end?

First

Last

Role

Please confirm that you understand and agree to the following:

Funds are generated through coffee sales and are not guaranteed
Submission of this application does not guarantee acceptance into the nonprofit partnership program
We understand that promotion and sales efforts are the responsibility of our organization

ithmah coffee