Name of Organization *
First and Last Name of Representative *
Address *
Contact Number *
Email *
Does your organization serve constituents in the 60th Assembly District? (Riverside, Moreno Valley, Perris, Hemet, San Jacinto, and the unincorporated areas of Mead Valley, Nuevo and Good Hope) *
How long has your Nonprofit been established? *
What is your staff team size? *
What is your Annual Budget? *
Guest Count (optional):
What do you intend to gain from the 2023 Nonprofit Summit? *