Complete
the following, or leave blank if not applicable, or you prefer not to include:
1.
Organization Name:
____________________________________________________
2.
Mailing address for organization:
__________________________________________
3.
Office Phone for organization___________________
4.
E-mail for organization ________________________
5.
Web _______________________________________
6.
Brief description of activities (25-50 words)
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
7.
Date Founded ___________________________
8.
Annual expenditures most recent year, (informed estimate ok.)
_____________________
9.
Number of members i.e. active supporters, donors and volunteers,
(informed estimate ok)_____________
10. Annual dues: _______________
11. Meeting dates: ___________
12. Up to 3 local contacts
names and phone numbers.
____________________________________________
____________________________________________
____________________________________________
Contact
Person completing this form:
_____________________________ (in case of questions)
Phone #_________________ &
e-mail________________
Please
send information to:
Jo-Ski
Theiler, 601 Piper Street, Tomahawk, WI 54487
Or
e-mail: jo-ski@charter.net
Additional
copies of this form can be obtained from WJJQ’s website. See the link on the bottom left corner
of www.wjjq.com