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Use this form to request that a new database record be created for an organization. The following information is required in order to create a Raiser's Edge record in which to store actions and contact information. Please complete this form and submit. Thank you.
ORGANIZATION RECORD REQUEST FORM
ORGANIZATION RECORD REQUEST FORM
INSTRUCTIONS
To request a new record for an organization, please complete the required fields below. To request a new individual record for a person, please complete a separate INDIVIDUAL RECORD REQUEST FORM.
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ORGANIZATION INFO
Company Name:
*
Company Street Address:
*
Company City:
*
Company State:
*
Company ZIP:
*
Company Email:
*
Company Phone:
*
Primary Company Contact Name:
*
Primary Contact Title
*
Primary Company Contact Phone:
*
Primary Company Contact Email
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WHY SHOULD THIS CONSTITUENT BE IN OUR DATABASE?
Constituent Coding:
Company
Foundation
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Notes:
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REQUESTED BY:
Your Name
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Your Phone Number:
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Your Email Address:
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