The Children of Ireland Group
P. O. Box 13241, Tallahassee, Florida 32317
Telephone: (850) 562-6466 Ext. 3307

Email: terry@thetrakker.com
A 501(c)(3) Non-Profit Organization

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COMMUNITY CENTER INFORMATION

Instructions:

You may either print out this page by choosing the "Print" button above, or fill out this online form.  The results will be sent to Children of Ireland Group via email.  You may, however, find the postal service is a better option in terms of additional space for information.

Please complete as much of the information requested below as possible.  If you choose to mail the information by postal service, you may attach additional paper if needed.  Please attach quotes, proposals, etc. from equipment providers/companies.

Mail to:  P.O. Box 13241, Tallahassee, Florida, USA 32317  

 


  • Please provide the following contact information:

    Organization

    Street Address

    Address (cont.)

    Town

    County

    Postal Code

    Country

    Director

    Work Phone

    FAX

    E-mail

    URL

  • Additional Contact Person:

    Name

    Title

    Work Phone

    E-mail

  • REGISTERED NON-PROFIT IDENTIFICATION NUMBER:    

  • APPROXIMATE NUMBER OF CHILDREN (LESS THAN 15 YEARS OLD) SERVED:     

  • APPROXIMATE NUMBER OF YOUNG ADULTS (16YRS AND OLDER) SERVED:

  • OTHER INFORMATION WHICH MAY BE HELPFUL INCLUDING PROBLEMS THAT COULD BE HELPED WITH OUR ASSISTANCE


  • BRIEFLY DESCRIBE EACH RECREATION AND/OR EDUCATION EQUIPMENT NEEDED, COST, AND GROUPS TO BENEFIT



 
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