Affiliate Inquiry

COCO Affiliate Inquiry

Affiliate Inquiry

If you are human, leave this field blank.

Your First Name *

Your Last Name *

Group or Organization Name *

Your Position/Title *

Email *

Phone *

Organization's Address

(Address Line 1)

(Address Line 2)

City

State/Province

Zip/Postal

Organization's Website or social media page URL (if applicable)

What is your organization's mission statement? (If you have not created one yet, what are the goals of your organization?) *

Is your organization an established 501(c)3? *

Yes

What stakeholders are you currently working with (agencies, groups, and organizations)? *

Are you completing boots-on-the-ground work to support a healthy ecosystem? (i.e. watershed/river restoration, forest restoration/mitigation, trail building, etc) *

Yes

Please explain your work (past, current, and future projects) *

Do you currently involve your local community and voluntary support? *

Yes

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