City of Montgomery Department of Neighborhood Services
Nonprofit Mall Registration Form
Name of Organization
*
Organization's EIN#
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
What services do you provide
*
Please Select
Health & Wellness
Finances
Education
Home Improvement
Food Insecurities
Children and Families
Housing
Please Specify
*
Will you be willing to be a vendor at our event?
*
Yes
No
Maybe
Which event
*
October 26 (Garrett Colesium)
Submit
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