T.O.P.S. for Kids

Corporate Donor Submission Form

Corporate Application

Company Name*

EIN*

NAICS #

Contact Title

Contact Name*

Contact Email Address*

Phone Number*

Fax Number

Address*

City*

Zip Code*

Accounts Payable Address is the same as above

Accounts Payable Address

Address*

City*

Zip Code*

Donation Amount*

This donation is for the corporate tuition tax credit (A.R.S 43-1183) $158,476,605 Cap

This donation is for the corporate disabled/displaced tuition tax credit (A.R.S. 43-1184) $6 Million Cap

May we share your name and logo on our website?*

Yes

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Password:*

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