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* 1. Your Name:

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* 2. Organization Name:

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* 3. Organization Physical Address:

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* 4. Organization Mailing Address, if different from above:

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* 5. Organization Phone Number, including area code:

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* 6. Website Address and/or Social Media Address, if applicable:

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* 7. Primary Area/Field of Service:

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* 8. Tennessee County/Counties Served (if your organization provides services statewide, select the checkbox "All Counties/Statewide":

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* 9. IRS Determination Letter:

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* 10. Organization Leadership Contact (Staff or Board):

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* 11. Staff Member Responsible for Managing Communication (if different or in addition to above):

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* 12. Staff Member(s) and/or Board Member(s) to Receive TNN Newsletter:

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* 13. We want to get to know you! If you'd like to share your thoughts, please let us know the number one reason why you are joining Tennessee Nonprofit Network (or anything else you'd like to share!):

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