2012 McHenry
County Human Race is April 15, 2012
Human Race Organization
Registration Form - for questions on this form call 815-344-4483
Today's date (00/00/0000):
Program or Organization Name:
Check if this organization is a 501c3.
If not - tell us who is the fiduciary for the organization:
EIN number
of the organization or fiduciary agent:
About the organization contact:
Agency Contact First
Name (this person will receive all communication regarding the race):
Last:
Contact's phone number
(000-000-0000):
Contact's email:
About the organization:
Organization's address:
City:
St:
Zip code :
Fundraising goal $
Organization's
Description - Tell the
public what you do - what are they supporting - why should they help
your organization. Keep it short - Maximum length is 500 characters :
Enter the follow number in this
box 8523:
I will mail a check to NFPR based on the following
options: Important all checks most be
made out to NFPR or Not-For-Profit Resources and mailed to PO
Box 386, McHenry. IL 60051
-
ember Price through February
10, 2012 $50.00, after $75.00
-
Non-Member Price after February
10, 2012 $75.00, after $100.00
I
will use the online payment option (Online payment method will
appear after submitting your registration below)
I have read, understand, and agree
with the terms of the McHenry County Human Race. Click to view
By clicking the "Submit" button
I am providing proof that read the terms
