Mailing Address

What is the general charitable purpose of your organization?

What geographic area do you serve?

How many people (or groups) benefit from your service?

Has your organization been registered with the NH Secretary of State as a Domestic Nonprofit Corporation for at least 1 year?

Registration #

Do you have an IRS letter recognizing your organization as exempt from Federal Income Tax?

Has your organization participated in NH charitable gaming previously with a charitable gaming casino other than the Nash?

List dates of participation and location(s):

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