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Nonprofit Application Form

Organization Information
Primary County Served
Lake County
Orange County
Osceola County
Polk County
Multiple Four Corners Counties
Other

Primary Contact

Nonprofit Verification

Is your organization currently recognized as tax-exempt?
Yes
No
Pending
Tax-Exempt Classification

Your EIN will be used only for nonprofit eligibility verification.

Is your organization registered as a nonprofit organization in Florida?
Yes
No
Registration pending

Please upload documentation confirming your organization’s nonprofit or tax-exempt status, such as an IRS determination letter or other applicable documentation.

Membership Interest

Dropdown

Eligibility Confirmation

4CCC reserves the right to determine eligibility for nonprofit membership pricing based on the information and documentation provided.

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